ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2020
Patterns of care and cost profiles of women with breast cancer in Italy: EPICOST study based on real world data.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Cost-effectiveness analysis (CEA) of ovarian cancer preventive strategies for women with BRCA1/2 pathogenic variants: the role of surveillance.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- End-of-life healthcare use and associated costs for First Nations Australians diagnosed with cancer in Queensland, Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Burden of Disease of Breast Cancer in Italy: A Real-World Data Analysis.PharmacoEconomics - open · 2025Article
- Cost profiles of cancer patients at the end of life: Estimates from the EPICOST-study.PloS one · 2025Article
- Observational
- Budget impact analysis of introducing digital breast tomosynthesis in breast cancer screening in Italy.La Radiologia medica · 2024Article
- Based on knowledge capital value for disease cost accounting of diagnosis related groups.Frontiers in public health · 2024Article
- Estimation of lifetime costs for patients receiving a transplant: the case of liver transplantation related to hepatitis B in Italy.Frontiers in public health · 2024Article
- Overcoming barriers: Modelling the effect of potential future changes of organized breast cancer screening in Italy.Journal of medical screening · 2023Article
- Projecting cancer prevalence by phase of care: a methodological approach for health service planning.Frontiers in oncology · 2023Article
- [Direct medical costs in a cohort of patients with breast cancer].Revista medica del Instituto Mexicano del Seguro Social · 2022Article
- Quantifying the hospital and emergency department costs for women diagnosed with breast cancer in Queensland.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Cancer cost profiles: The Epicost estimation approach.Frontiers in public health · 2022Article
- Quantifying the Costs to Different Funders over Five-Years for Women Diagnosed with Breast Cancer in Queensland, Australia: A Data Linkage Study.International journal of environmental research and public health · 2021Article
- A direct method for the identification of patterns of care using administrative databases: the case of breast cancer.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
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Authors and funding
21 authors.
Funding
Abstract
objectivesTo estimate total direct health care costs associated to diagnosis and treatment of women with breast cancer in Italy, and to investigate their distribution by service type according to the disease pathway and patient characteristics.
methodsData on patients provided by population-based Cancer Registries are linked at individual level with data on health-care services and corresponding claims from administrative databases. A combination of cross-sectional approach and a threephase of care decomposition model with initial, continuing and final phases-of-care defined according to time occurred since diagnosis and disease outcome is adopted. Direct estimation of cancer-related costs is obtained.
resultsStudy cohort included 49,272 patients, 15.2% were in the initial phase absorbing 42% of resources, 79.7% in the continuing phase absorbing 44% of resources and 5.1% in the final phase absorbing 14% of resources. Hospitalization was the most important cost driver, accounting for over 55% of the total costs.
conclusionsThis paper represents the first attempt in Italy to estimate the economic burden of cancer at population level taking into account the entire disease pathway and using multiple current health care databases. The evidence produced by the study can be used to better plan resources allocation. The model proposed is replicable to countries with individual health care information on services and claims.
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