Evidence map›Paper›PMID 31647697›Full record

ArticleJCO oncology practice2020

Patterns of Care and Costs for Older Patients With Colorectal Cancer at the End of Life: Descriptive Study of the United States and Canada.

Karen E Bremner, K Robin Yabroff, Diarmuid Coughlan, Ning Liu, Christopher Zeruto, Joan L Warren, Claire de Oliveira, Angela B Mariotto, Clara Lam, Michael J Barrett and 3 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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.

Karen E BremnerToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
K Robin YabroffSurveillance and Health Services Research, American Cancer Society, Atlanta, GA.
Diarmuid CoughlanNational Cancer Institute, Rockville, MD.
Ning LiuInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Christopher ZerutoInformation Management Services, Calverton, MD.
Joan L WarrenNational Cancer Institute, Rockville, MD.
Claire de OliveiraToronto Health Economics and Technology Assessment Collaborative, Toronto, Ontario, Canada.
Angela B MariottoNational Cancer Institute, Rockville, MD.
Clara LamNational Cancer Institute, Rockville, MD.
Michael J BarrettInformation Management Services, Calverton, MD.
Kelvin K-W ChanUniversity of Toronto, Toronto, Ontario, Canada.
Jeffrey S HochUniversity of Toronto, Toronto, Ontario, Canada.
Murray D KrahnToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEnd-of-life (EOL) cancer care is costly, with challenges regarding intensity and place of care. We described EOL care and costs for patients with colorectal cancer (CRC) in the United States and the province of Ontario, Canada, to inform better care delivery.

methodsPatients diagnosed with CRC from 2007 to 2013, who died of any cancer from 2007 to 2013 at age ≥ 66 years, were selected from the US SEER cancer registries linked to Medicare claims (n = 16,565) and the Ontario Cancer Registry linked to administrative health data (n = 6,587). We estimated total and resource-specific costs (2015 US dollars) from public payer perspectives over the last 360 days of life by 30-day periods, by stage at diagnosis (0-II, III, IV).

resultsIn all months, especially 30 days before death, higher percentages of SEER-Medicare than Ontario patients received chemotherapy (15.7%

conclusionThese findings suggest opportunities for reducing chemotherapy and ICU use in the United States and hospitalizations in Ontario.

Indexed as

AgedAged, 80 and overCanadaColorectal NeoplasmsFemaleHumansMaleTerminal CareUnited States

Identifiers

PMID31647697
PMCPMC7051852

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.