Evidence map›Paper›PMID 34737208›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2022

Expenditures in Young Adults with Hodgkin Lymphoma: NCI-Designated Comprehensive Cancer Centers versus Other Sites.

Julie A Wolfson, Smita Bhatia, Jill P Ginsberg, Laura Becker, David Bernstein, Henry J Henk, Gary H Lyman, Paul C Nathan, Diane Puccetti, Jennifer J Wilkes and 2 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 2 countries.

Julie A WolfsonDivision of Pediatric Hematology-Oncology, Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, Alabama. jwolfson@uabmc.edu.ORCID 0000-0002-3711-2239
Smita BhatiaDivision of Pediatric Hematology-Oncology, Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-7755-5683
Jill P GinsbergUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Laura BeckerOptumLabs, Eden Prairie, Minnesota.
David BernsteinStand Up To Cancer, Los Angeles, California.ORCID 0000-0002-4564-8578
Henry J HenkOptumLabs, Eden Prairie, Minnesota.ORCID 0000-0002-9253-7539
Gary H LymanDivisions of Public Health Sciences and Clinical Research, Fred Hutchinson Cancer Research Center, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0002-0823-8086
Paul C NathanThe Hospital for Sick Children, Toronto, Canada.
Diane PuccettiDivision of Pediatric Hematology-Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Jennifer J WilkesDepartment of Pediatrics, Fred Hutchinson Cancer Research Center, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0002-3806-6019
Lena E WinestoneDepartment of Pediatrics, Division of Allergy, Immunology, and Blood and Marrow Transplant, UCSF Benioff Children's Hospitals, San Francisco, California.ORCID 0000-0001-9982-1594
Kelly M KenzikDivision of Pediatric Hematology-Oncology, Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, Alabama.
University of Alabama at Birmingham · USOptum (United States) · USFred Hutch Cancer Center · USHospital for Sick Children · CAUCSF Benioff Children's Hospital · USUniversity of Pennsylvania · USUniversity of Washington · USUniversity of Wisconsin–Madison · USUSC Norris Comprehensive Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutcomes among Hodgkin lymphoma (HL) patients diagnosed between 22 and 39 years are worse than among those diagnosed <21 years, and have not seen the same improvement over time. Treatment at an NCI-designated Comprehensive Cancer Center (CCC) mitigates outcome disparities, but may be associated with higher expenditures.

methodsWe examined cancer-related expenditures among 22- to 39-year-old HL patients diagnosed between 2001 and 2016 using deidentified administrative claims data (OptumLabs Data Warehouse; CCC:

resultsIn the year following diagnosis, CCC patients had higher HPP expenditures ($12,869 vs. $10,688,

conclusionsYoung adults with HL at CCCs saw higher health-plan expenditures, but comparable out-of-pocket expenditures. Drivers of CCC expenditures included outpatient hospital utilization (monthly rates of non-therapy visits and per-visit expenditures for chemotherapy). IMPACT: Higher HPP expenditures at CCCs in the year following HL diagnosis likely reflect differences in facility structure and comprehensive care. For young adults, it is plausible to consider incentivizing CCC care to achieve superior outcomes while developing approaches to achieve long-term savings.

Indexed as

Health ExpendituresHodgkin DiseaseAdultHospitalizationHumansYoung Adult

Identifiers

PMID34737208
OpenAlexW3209679657

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.