Evidence map›Paper›PMID 32172441›Full record

Trial reportJournal of neuro-oncology2020

Healthcare utilization and productivity loss in glioma patients and family caregivers: the impact of treatable psychological symptoms.

Florien W Boele, David Meads, Femke Jansen, Irma M Verdonck-de Leeuw, Jan J Heimans, Jaap C Reijneveld, Susan C Short, Martin Klein

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The impact of financial toxicity on quality of life for survivors of primary brain tumour.Journal of cancer survivorship : research and practice · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. But at What Cost? Healthcare Utilization of Canadian Carer-Employees.International journal of environmental research and public health · 2024
    Article
  16. Review
  17. Review
  18. Article
  19. Observational
  20. 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

8 authors at 4 institutions in 2 countries.

Florien W BoeleLeeds Institute of Medical Research at St James's, St James's University Hospital, Leeds, LS9 7TF, UK. F.Boele@leeds.ac.uk.ORCID http://orcid.org/0000-0003-0409-7949
David MeadsFaculty of Medicine and Health, Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9JT, UK.
Femke JansenDepartment of Otolaryngology - Head & Neck Surgery, Amsterdam UMC, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Irma M Verdonck-de LeeuwDepartment of Otolaryngology - Head & Neck Surgery, Amsterdam UMC, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Jan J HeimansDepartment of Neurology, Amsterdam UMC, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Jaap C ReijneveldDepartment of Neurology, Amsterdam UMC, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Susan C ShortLeeds Institute of Medical Research at St James's, St James's University Hospital, Leeds, LS9 7TF, UK.
Martin KleinDepartment of Medical Psychology, Amsterdam UMC, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Amsterdam Neuroscience · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLUniversity of Leeds · GBSt James's University Hospital · GB

Funding

KWF Kankerbestrijding VU 2010-4808Yorkshire Cancer Research L389FB
6 · The paper itself

Abstract

backgroundGliomas are associated with significant healthcare burden, yet reports of costs are scarce. While many costs are unavoidable there may be treatable symptoms contributing to higher costs. We describe healthcare and societal costs in glioma patients at high risk for depression and their family caregivers, and explore relationships between costs and treatable symptoms.

methodsData from a multicenter randomized trial on effects of internet-based therapy for depressive symptoms were used (NTR3223). Costs of self-reported healthcare utilization, medication use, and productivity loss were calculated for patients and caregivers separately. We used generalized linear regression models to predict costs with depressive symptoms, fatigue, cognitive complaints, tumor grade (low-/high-grade), disease status (stable or active/progression), and intervention (use/non-use) as predictors.

resultsMultiple assessments from baseline through 12 months from 91 glioma patients and 46 caregivers were used. Mean overall costs per year were M = €20,587.53 (sd = €30,910.53) for patients and M = €5,581.49 (sd = €13,102.82) for caregivers. In patients, higher healthcare utilization costs were associated with more depressive symptoms; higher medication costs were associated with active/progressive disease. In caregivers, higher overall costs were linked with increased caregiver fatigue, cognitive complaints, and lower patient tumor grade. Higher healthcare utilization costs were related to more cognitive complaints and lower tumor grade. More productivity loss costs were associated with increased fatigue (all P < 0.05).

conclusionsThere are substantial healthcare and societal costs for glioma patients and caregivers. Associations between costs and treatable psychological symptoms indicate that possibly, adequate support could decrease costs.

trial registrationNetherlands Trial Register NTR3223.

Indexed as

Health Care CostsAdolescentAdultAgedCaregiversFemaleFollow-Up StudiesGliomaHumansMaleMiddle AgedPatient Acceptance of Health CarePrognosisYoung AdultCostsDepressionFamily caregiverGliomaHealthcare utilizationWork productivity

Identifiers

PMID32172441
PMCPMC7136180
OpenAlexW3010754996

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.