Evidence map›Paper›PMID 35362863›Full record

ArticleAdvances in therapy2022

Health Care Resource Utilization and Costs Associated with Disease Progression in Ovarian Cancer.

Daniel Simmons, Stephanie V Blank, Adam C ElNaggar, Benjamin Chastek, Scott H Bunner, Kimmie McLaurin

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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 4 institutions in 1 country.

Daniel SimmonsUS Oncology Health Economics and Outcomes Research, AstraZeneca, 1 Medimmune Way, Gaithersburg, MD, 20878, USA. daniel.simmons@astrazeneca.com.
Stephanie V BlankIcahn School of Medicine at Mount Sinai, Blavatnik Family Women's Health Research Institute, New York, NY, USA.
Adam C ElNaggarWEST Cancer Center and Research Institute, Memphis, TN, USA.
Benjamin ChastekOptum, Eden Prairie, MN, USA.
Scott H BunnerOptum, Eden Prairie, MN, USA.
Kimmie McLaurinUS Oncology Health Economics and Outcomes Research, AstraZeneca, 1 Medimmune Way, Gaithersburg, MD, 20878, USA.
AstraZeneca (United States) · USOptum (United States) · USIcahn School of Medicine at Mount Sinai · USWest Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOvarian cancer (OC) is one of the leading causes of cancer mortality among women in the United States. With the approval of first-line maintenance therapies, patients with OC experienced prolonged first-line progression-free survival. While the literature addresses some costs associated with OC, further research is needed on the costs of progression that are potentially deferred or prevented by early maintenance. The objective of this study was to capture the health care resource utilization and costs of patients with advanced OC who never received poly(ADP ribose) polymerase (PARP) inhibitor maintenance.

methodsWe conducted a descriptive retrospective analysis of treatment patterns and the consequences of progression through several lines of therapy (LOTs) in patients with OC, using claims from commercial and Medicare Advantage health plan members in the United States from the Optum Research Database between January 1, 2010, and April 30, 2019. Patients were required to have an index OC diagnosis (≥ 2 non-diagnostic claims). We examined up to 4 LOTs and the time between treatments.

resultsA total of 5498 women met the eligibility criteria. As the number of LOTs increased, the median duration of each line decreased from 137 days in LOT1 to 94 days in LOT4, and the time between lines also decreased from 245 to 0 days. Ambulatory care visits were a major driver of health care resource utilization, with a median of about 6 monthly visits during active treatment. The mean total monthly health care costs for patients with at least 2 LOTs were US$8588 (SD: $8533) before LOT2 and increased to $15,358 (SD: $21,460) during or after LOT2.

conclusionsProlonging progression-free survival after first-line treatment in patients with OC may provide the opportunity to delay or prevent later treatment, the financial toxicity felt by patients, and the economic burden to the health care system associated with progression.

Indexed as

MedicareOvarian NeoplasmsAgedCarcinoma, Ovarian EpithelialDelivery of Health CareDisease ProgressionFemaleHealth Care CostsHumansRetrospective StudiesUnited StatesFinancial burdenFinancial toxicityGynecologic cancersHealth care costHealth care resource utilizationOvarian cancer

Identifiers

PMID35362863
PMCPMC9122852
OpenAlexW4221086822

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.