Evidence map›Paper›PMID 33430156›Full record

ArticleInternational journal of environmental research and public health2021

The Economic Impact of Rectal Cancer: A Population-Based Study in Italy

Anna Gigli, Silvia Francisci, Giulia Capodaglio, Daniela Pierannunzio, Sandra Mallone, Andrea Tavilla, Tania Lopez, Manuel Zorzi, Fabrizio Stracci, Susanna Busco and 11 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. 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

21 authors.

Anna GigliInstitute for Research on Population and Social Policies, National Research Council, 00185 Rome, Italy.
Silvia FrancisciCentro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy.
Giulia CapodaglioServizio Epidemiologico Regionale, Azienda Zero, 35132 Padova, Italy.
Daniela PierannunzioCentro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy.ORCID 0000-0003-3593-9774
Sandra MalloneCentro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy.
Andrea TavillaCentro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy.
Tania LopezCentro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy.ORCID 0000-0002-6168-400X
Manuel ZorziRegistro Tumori Veneto, Azienda Zero, 35132 Padova, Italy.ORCID 0000-0001-6025-5214
Fabrizio StracciRegistro Tumori dell'Umbria, Università di Perugia, 06123 Perugia, Italy.
Susanna BuscoUOC Programmazione e Controllo di Gestione, Azienda Sanitaria Locale Latina, 04100 Latina, Italy.
Walter MazzuccoRegistro Tumori di Palermo, Università of Palermo, 90133 Palermo, Italy.ORCID 0000-0001-5090-1366
Sara LonardiIstituto Oncologico Veneto, IRCCS, 35128 Padova, Italy.
Fortunato BianconiRegistro Tumori dell'Umbria, Università di Perugia, 06123 Perugia, Italy.
Antonio Giampiero RussoRegistro Tumori di Milano, Agenzia per la Protezione della Salute di Milano, 20100 Milano, Italy.ORCID 0000-0002-5681-5861
Silvia IacovacciRegistro Tumori di Latina, Dipartimento di Prevenzione Azienda Sanitaria Locale Latina, 04100 Latina, Italy.
Diego SerrainoRegistro Tumori del Friuli Venezia Giulia, Centro di Riferimento Oncologico, IRCCS, 33081 Aviano, Italy.
Gianfranco ManneschiRegistro Tumori della Toscana, Istituto per lo Studio, la Prevenzione e la Rete Oncologica, 50139 Firenze, Italy.ORCID 0000-0002-3785-526X
Mario FuscoRegistro Tumori Azienda Sanitaria Locale Napoli 3 Sud, 80100 Napoli, Italy.
Rosanna CusimanoAzienda Sanitaria Locale 6, 90141 Palermo, Italy.
Massimo RuggeRegistro Tumori del Veneto, Università di Padova, 35122 Padova, Italy.
Stefano GuzzinatiRegistro Tumori Veneto, Azienda Zero, 35132 Padova, Italy.ORCID 0000-0002-4908-5506

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Costs of cancer care are increasing worldwide, and sustainability of cancer burden is critical. In this study, the economic impact of rectal cancer on the Italian healthcare system, measured as public healthcare expenditure related to investigation and treatment of rectal cancer patients is estimated. A cross-sectional cohort of 9358 rectal cancer patients is linked, on an individual basis, to claims associated to rectal cancer diagnosis and treatments. Costs refer mainly to years 2010-2011 and are estimated by phase of care, as healthcare needs vary along the care pathway: diagnostic procedures are mainly provided in the first year, surveillance procedures are addressed to chronically ill patients, and end-of-life procedures are given in the terminal status. Clinical approaches and corresponding costs are specific by cancer type and vary by phase of care, stage at diagnosis, and age. Surgery is undertaken by the great majority of patients. Thus, hospitalization is the main cost driver. The evidence produced can be used to improve planning and allocation of healthcare resources. In particular, early diagnosis of rectal cancer is a gain in healthcare budget. Policies raising spreading of and adherence to screening plans, above all when addressed to people living in Southern Italy, should be strongly encouraged.

Indexed as

Health ExpendituresRectal NeoplasmsCross-Sectional StudiesDelivery of Health CareHealth Care CostsHumansItalyadministrative databasescancer registrycost analysispatterns of careprevalencereal-world data

Identifiers

PMID33430156
PMCPMC7827442

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.