Evidence map›Paper›PMID 32862501›Full record

ArticleCancer medicine2020

A population-based comparison of treatment patterns, resource utilization, and costs by cancer stage for Ontario patients with triple-negative breast cancer.

Christine Brezden-Masley, Kelly E Fathers, Megan E Coombes, Behin Pourmirza, Cloris Xue, Katarzyna J Jerzak

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 25% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Christine Brezden-MasleyDivision of Medical Oncology and Hematology, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada.
Kelly E FathersDepartment of Medical Affairs, Hoffmann-La Roche Limited, Mississauga, Ontario, Canada.
Megan E CoombesMarket Access and Pricing Department, Hoffmann-La Roche Limited, Mississauga, Ontario, Canada.
Behin PourmirzaDepartment of Medical Affairs, Hoffmann-La Roche Limited, Mississauga, Ontario, Canada.
Cloris XueDepartment of Medical Affairs, Hoffmann-La Roche Limited, Mississauga, Ontario, Canada.
Katarzyna J JerzakDivision of Medical Oncology and Hematology, Faculty of Medicine, University of Toronto, Sunnybrook Odette Cancer Center, Toronto, Ontario, Canada.ORCID 0000-0002-3995-0308
Roche (Canada) · CAMount Sinai Hospital · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been few publications exploring the characteristics, treatment pathways, and health-care costs by stage in patients with a triple-negative breast cancer (TNBC) phenotype.

methodsData from a publicly funded health-care system in Ontario were assessed. Baseline characteristics, treatment patterns, and health-care costs were descriptively compared by cancer stage (I-III vs IV) for adult women diagnosed with invasive TNBC between 2012 and 2016. Resource use was multiplied by unit costs for publicly funded health-care services to calculate health system-related costs.

resultsA total of 3271 cases were identified, 3081 with stage I-III and 190 with stage IV TNBC. Baseline characteristics were aligned with previous reports. Surgery was the most common treatment among patients with stage I-III disease (n = 2979, 96.7%); 557 (18.7%) received neoadjuvant therapy (NAT) and 1974 (66.3%) received adjuvant therapy (AT), the latter at a median of 44 days postsurgery, and 2446 (79.4%) in the stage I-III cohort received radiation. Treatment for metastatic TNBC included surgery in 48 (25.3%), systemic therapy in 138 (72.6%), and radiotherapy in 112 (58.9%) patients. Top drug regimens included anthracyclines/taxanes. Annual per-patient health care costs were four times higher for stage IV vs. stage I-III TNBC.

conclusionPer-patient costs were higher in metastatic TNBC, despite a less frequent use of all treatment modalities compared to early TNBC. Treatment patterns were aligned with the options available at the time; however, neoadjuvant treatment rates were low.

Indexed as

Health ResourcesAdolescentAdultAged, 80 and overDisease ManagementFemaleHealth Care CostsHealth Services AccessibilityHumansNeoplasm StagingOntarioPractice Patterns, Physicians'Public Health SurveillanceTriple Negative Breast Neoplasmscohort studiescosts and cost analysisdrug therapyhealth services researchradiotherapysurgical procedures operativetriple-negative breast neoplasms

Identifiers

PMID32862501
PMCPMC7571809
OpenAlexW3082718392

What OpenQuestion holds

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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.