Evidence map›Paper›PMID 29922900›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2019

The economic burden of disease of epithelial ovarian cancer in Spain: the OvarCost study.

Laura Delgado-Ortega, Almudena González-Domínguez, Josep María Borrás, Juan Oliva-Moreno, Eva González-Haba, Salomón Menjón, Pedro Pérez, David Vicente, Luis Cordero, Margarita Jiménez and 3 more

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In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  11. Cost-utility analysis of germline BRCA1/2 testing in women with high-grade epithelial ovarian cancer in Spain.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
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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

13 authors.

Laura Delgado-OrtegaAstraZeneca Farmacéutica Spain, Serrano Galvache, 56, Building Álamo, Madrid, Spain. laura.delgado@astrazeneca.com.
Almudena González-DomínguezWeber, Majadahonda, Madrid, Spain.
Josep María BorrásClinical Sciences Department, University of Barcelona, L'Hospital de Llobregat, Barcelona, Spain.
Juan Oliva-MorenoUniversidad de Castilla-La Mancha - Campus de Toledo, Toledo, Spain.
Eva González-HabaHospital General Universitario Gregorio Marañón, Madrid, Spain.
Salomón MenjónHospital Universitario Virgen de las Nieves, Granada, Spain.
Pedro PérezHospital Clínico Universitario, Madrid, Spain.
David VicenteHospital Universitario Virgen Macarena, Sevilla, Spain.
Luis CorderoAstraZeneca Farmacéutica Spain, Serrano Galvache, 56, Building Álamo, Madrid, Spain.
Margarita JiménezWeber, Majadahonda, Madrid, Spain.
Susana SimónAstraZeneca Farmacéutica Spain, Serrano Galvache, 56, Building Álamo, Madrid, Spain.
Álvaro Hidalgo-VegaUniversidad de Castilla-La Mancha - Campus de Toledo, Toledo, Spain.
Carlota Moya-AlarcónAstraZeneca Farmacéutica Spain, Serrano Galvache, 56, Building Álamo, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the economic burden of epithelial ovarian cancer (EOC) in incident patients and the burden by disease stage in Spain.

methodsWe developed a Markov model from a social perspective simulating the natural history of EOC and its four stages, with a 10-year time horizon, 3-week cycles, 3% discount rate, and 2016 euros. Healthcare resource utilization and costs were estimated by disease stage. Direct healthcare costs (DHC) included early screening, genetic counselling, medical visits, diagnostic tests, surgery, chemotherapy, hospitalizations, emergency services, and palliative care. Direct non-healthcare costs (DNHC) included formal and informal care. Indirect costs (IC) included labour productivity losses due to temporary and permanent leaves, and premature death. Epidemiology data and resource use were taken from the literature and validated for Spain by the OvarCost group using a Delphi method.

resultsThe total burden of EOC over 10 years was 3102 mill euros: 15.1% in stage I, 3.9% in stage II, 41.0% in stage III, and 40.2% in stage IV. Annual average cost/patient was €24,111 and it was €8,641; €14,184; €33,858, and €42,547 in stages I-IV, respectively. Of total costs, 71.2% were due to DHC, 24.7% to DNHC, and 4.1% to IC.

conclusionsEOC imposes a significant economic burden on the national healthcare system and society in Spain. Investment in better early diagnosis techniques might increase survival and patients' quality of life. This would likely reduce costs derived from late stages, consequently leading to a substantial reduction of the economic burden associated with EOC.

Indexed as

Cost of IllnessAgedCarcinoma, Ovarian EpithelialEarly Detection of CancerFemaleHealth Care CostsHumansMarkov ChainsMiddle AgedOvarian NeoplasmsPatient Acceptance of Health CareSpainEconomic burden of diseaseEpithelial ovarian cancerHealthcare resource utilizationSpain

Identifiers

PMID29922900
PMCPMC6394604

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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.