Evidence map›Paper›PMID 28277207›Full record

ArticleHealthcare policy = Politiques de sante2017

Estimating the Cost of Cancer Care in British Columbia and Ontario: A Canadian Inter-Provincial Comparison.

Claire De Oliveira, Reka Pataky, Karen E Bremner, Jagadish Rangrej, Kelvin K W Chan, Winson Y Cheung, Jeffrey S Hoch, Stuart Peacock, Murray D Krahn

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Healthcare policy = Politiques de sante, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03862911 (Phase III Randomized Controlled Trial and Economic Evaluation of Stereotactic Ablative Radiotherapy for Comprehensive Treatment of Oligometastatic), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
23.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03862911 naactive not recruitingnot on this mapstarted 2019, after this paper: background citation

Phase III Randomized Controlled Trial and Economic Evaluation of Stereotactic Ablative Radiotherapy for Comprehensive Treatment of Oligometastatic (1-3 Metastases) Cancer (SABR-COMET-3)

TypeinterventionalSponsorBritish Columbia Cancer AgencyRan2019 to 2030Enrolled330ConditionsMetastatic TumorsArmspalliative radiotherapy, Stereotactic ablative radiotherapy
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Lifetime direct healthcare costs of treating colorectal cancer: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Pooled it
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  7. Associations between clinical pathway concordance, cost, and survival outcomes for stage II colon cancer: a population-based study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
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  14. Patterns of care and cost profiles of women with breast cancer in Italy: EPICOST study based on real world data.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  15. Article
  16. Comparing Childhood Cancer Care Costs in Two Canadian Provinces.Healthcare policy = Politiques de sante · 2020
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Claire De OliveiraInstitute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre for Addiction and Mental Health, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Reka PatakyCanadian Centre for Applied Research in Cancer Control, British Columbia Cancer Agency, Vancouver, BC.
Karen E BremnerUniversity Health Network, Toronto Health Economics and Technology Assessment Collaborative, Toronto, ON.
Jagadish RangrejInstitute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre, Toronto, ON.
Kelvin K W ChanCanadian Centre for Applied Research in Cancer Control, Cancer Care Ontario, Department of Medicine, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON.
Winson Y CheungDepartment of Oncology, University of Calgary, Calgary AB.
Jeffrey S HochCenter for Healthcare Policy and Research, Public Health Sciences, University of California Davis, St. Michael's Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Stuart PeacockCanadian Centre for Applied Research in Cancer Control, British Columbia Cancer Agency, School of Population and Public Health, University of British Columbia, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC.
Murray D KrahnToronto Health Economics and Technology Assessment Collaborative, Faculty of Pharmacy and Institute of Health Policy, Management and Evaluation, University of Toronto, University Health Network, Toronto, ON.
Canadian Centre for Applied Research in Cancer Control · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCosting studies are useful to measure the economic burden of cancer. Comparing costs between healthcare systems can inform evaluation, development or modification of cancer care policies.

objectivesTo estimate and compare cancer costs in British Columbia and Ontario from the payers' perspectives.

methodsUsing linked cancer registry and administrative data, and standardized costing methodology and analyses, we estimated costs for 21 cancer sites by phase of care to determine potential differences between provinces.

resultsOverall, costs were higher in Ontario. Costs were highest in the initial post-diagnosis and pre-death phases and lowest in the pre-diagnosis and continuing phases, and generally higher for brain cancer and multiple myeloma, and lower for melanoma. Hospitalization was the major cost category. Costs for physician services and diagnostic tests differed the most between provinces.

conclusionsThe standardization of data and costing methodology is challenging, but it enables interprovincial and international comparative costing analyses.

Indexed as

AdultAgedAged, 80 and overBritish ColumbiaFemaleHealth Care CostsHospitalizationHumansMaleMiddle AgedNeoplasmsOntario

Identifiers

PMID28277207
PMCPMC5344366
OpenAlexW2592529563

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.