Evidence map›Paper›PMID 28769578›Full record

ArticleClinicoEconomics and outcomes research : CEOR2017

Cost of illness of urothelial bladder cancer in Italy.

Claudio Gerace, Francesco Montorsi, Rosa Tambaro, Giacomo Cartenì, Stefano De Luca, Marcello Tucci, Giuseppe Martorana, Umberto Basso, Leonardo Cardosi, Cristina Teruzzi

Open access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Direct and indirect medical costs of bladder cancer in Iran.Cost effectiveness and resource allocation : C/E · 2023
    Article
  6. Review
  7. Article
  8. Review
  9. 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

10 authors at 7 institutions in 2 countries.

Claudio GeraceTemas s.r.l.-QuintilesIMS, Integrated Market Access Department.
Francesco MontorsiDepartment of Urology, IRCCS Ospedale San Raffaele, Milano, Italy.
Rosa TambaroDepartment of Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.
Giacomo CartenìA.O.R.N. A. Cardarelli, Unità Operativa Complessa di Oncologia Medica, Napoli, Italy.
Stefano De LucaDepartment of Urology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, Orbassano, Torino Italy.
Marcello TucciDepartment of Oncology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, Orbassano, Torino Italy.
Giuseppe MartoranaDepartment of Urology, Ospedale Policlinico S. Orsola-Malpighi, Bologna, Italy.
Umberto BassoDepartment of Clinical and Experimental Oncology, Istituto Oncologico Veneto IRCCS, Padova, Italy.
Leonardo CardosiTemas s.r.l.-QuintilesIMS, Integrated Market Access Department.
Cristina TeruzziTemas s.r.l.-QuintilesIMS, Integrated Market Access Department.
IQVIA (United Kingdom) · GBOspedale San Luigi Gonzaga · ITIRCCS Ospedale San Raffaele · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITIstituto Oncologico Veneto · ITOspedale Antonio Cardarelli · ITPoliclinico S.Orsola-Malpighi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrothelial bladder cancer (UBC) is the ninth most common cancer worldwide. In Italy, the prevalence of the disease is approximately 10%, making it the fourth most prevalent cancer in the country. The increase in prevalence requires continuous surveillance and care, resulting in a significant burden on Italian National Health Service, making any improvement to the strategy for diagnosing and treating this disease important to the medical and scientific community. The aim of this study was to evaluate the UBC cost of illness in the Italian context, collecting the total costs of the disease.

methodsAn economic analysis was carried out in the context of the National Health Service, using data collected from six centers, in order to evaluate direct costs in terms of outpatient, inpatient, and emergency care; pharmaceuticals and follow-up procedures; and indirect costs in terms of productivity losses. Data were collected through aggregated form reports, focusing on patients with an existing diagnosis of UBC who were treated in the last year. The Italian Association of Medical Oncology (AIOM) guidelines were used to identify diagnostic and therapeutic procedures. Statistical analysis was conducted to explore variations among centers.

resultsThe weighted mean total annual cost per patient was € 3,591, where the cost for superficial disease was € 3,252 and that for metastatic disease was € 606. The analysis confirmed a proportional relation between disease severity and disability grade. The UBC cost of illness, considering prevalence and incidence data coming from the 2016 AIOM/Italian Association of Cancer Registries report, was € 1,187,036,344. Indirect costs accounted to 44%, represented by estimated productivity losses.

conclusionOur analysis represents the first economic study of UBC in the Italian context, as well as the first real-life evidence of the current therapeutic algorithm. This study opens the possibility for further analysis on the indirect cost components that represent a great burden for the society, especially for those in the severest stages of the disease with high disability grades.

Indexed as

cost analysiscost of illnessdirect costseconomic evaluationindirect costsurothelial bladder cancer

Identifiers

PMID28769578
PMCPMC5533568
OpenAlexW2738293294

What OpenQuestion holds

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Registered trials

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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.