Evidence map›Paper›PMID 30043542›Full record

ArticleHealth services research2018

Medical Care Costs for Recurrent versus De Novo Stage IV Cancer by Age at Diagnosis.

Debra P Ritzwoller, Paul A Fishman, Matthew P Banegas, Nikki M Carroll, Maureen O'Keeffe-Rosetti, Angel M Cronin, Hajime Uno, Mark C Hornbrook, Michael J Hassett

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  5. Review
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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.

Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO.ORCID 0000-0001-7116-8458
Paul A FishmanDepartment of Health Services, University of Washington, Seattle, WA.
Matthew P BanegasKaiser Permanente Center for Health Research, Portland, OR.
Nikki M CarrollInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO.
Maureen O'Keeffe-RosettiKaiser Permanente Center for Health Research, Portland, OR.
Angel M CroninDana-Farber Cancer Institute, Boston, MA.
Hajime UnoDana-Farber Cancer Institute, Boston, MA.
Mark C HornbrookKaiser Permanente Center for Health Research, Portland, OR.
Michael J HassettDana-Farber Cancer Institute, Boston, MA.

Funding

Infrastructure for Pathways, a Prospective Study of Breast Cancer SurvivorshipU01CA195565 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSONE, CHRISTINE B., KUSHI, LAWRENCE H · 2016 to 2025
$18.8M
CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
Cancer Recurrence: Detection in Administrative Data, Incidence, and CostsR01CA172143 · NCI · DANA-FARBER CANCER INST · PI HASSETT, MICHAEL JAMES, RITZWOLLER, DEBRA P · 2013 to 2016
$1.7M
NCI NIH HHS R01 CA172143NCI NIH HHS U01 CA195565NCI NIH HHS U2 C171524
6 · The paper itself

Abstract

objectiveTo address the knowledge gap regarding medical care costs for advanced cancer patients, we compared costs for recurrent versus de novo stage IV breast, colorectal, and lung cancer patients. DATA SOURCES/STUDY

settingVirtual Data Warehouse (VDW) information from three Kaiser Permanente regions: Colorado, Northwest, and Washington. STUDY

designWe identified patients aged ≥21 with de novo or recurrent breast (n PRINCIPAL

findingsIn the pre-index period, monthly costs were higher for recurrent than for de novo breast (<65: +$2,431; ≥65: +$1,360), colorectal (<65: +$3,219; ≥65: +$2,247), and lung cancer (<65: +$3,086; ≥65: +$2,260) patients. Conversely, during the index and post-index periods, costs were higher for de novo patients. Average total annual pre-index costs were five- to ninefold higher for recurrent versus de novo patients <65.

conclusionsCost differences by type of advanced cancer and by age suggest heterogeneous patterns of care that merit further investigation.

Indexed as

Neoplasm Recurrence, LocalNeoplasm StagingAdultAgedAge FactorsBreast NeoplasmsColorectal NeoplasmsDatabases, FactualFemaleHealth Care CostsHumansLung NeoplasmsMaleMiddle AgedRetrospective StudiesUnited Statesadvanced cancerMedical care costs

Identifiers

PMID30043542
PMCPMC6232408

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.