Evidence map›Paper›PMID 35830621›Full record

ArticleJCO oncology practice2022

Trends in Medically Integrated Dispensing Among Oncology Practices.

Genevieve P Kanter, Ravi B Parikh, Michael J Fisch, David Debono, Justin Bekelman, Yao Xu, Stephanie Schauder, Gosia Sylwestrzak, John J Barron, Rebecca Cobb and 2 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

12 authors.

Genevieve P KanterDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3044-7829
Ravi B ParikhDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-2692-6306
Michael J FischAIM Specialty Health, Chicago, IL.ORCID 0000-0001-5312-403X
David DebonoAnthem, Indianapolis, IN.
Justin BekelmanDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-7624-0188
Yao XuDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Stephanie SchauderAnthem, Indianapolis, IN.
Gosia SylwestrzakAnthem, Indianapolis, IN.
John J BarronHealthCore, Wilmington, DE.
Rebecca CobbAnthem, Indianapolis, IN.
Dima M QatoLeonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA.
Mireille JacobsonLeonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA.ORCID 0000-0002-4977-8783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe integration of pharmacies with oncology practices-known as medically integrated dispensing or in-office dispensing-could improve care coordination but may incentivize overprescribing or inappropriate prescribing. Because little is known about this emerging phenomenon, we analyzed historical trends in medically integrated dispensing.

methodsAnnual IQVIA data on oncologists were linked to 2010-2019 National Council for Prescription Drug Programs pharmacy data; data on commercially insured patients diagnosed with any of six common cancer types; and summary data on providers' Medicare billing. We calculated the national prevalence of medically integrated dispensing among community and hospital-based oncologists. We also analyzed the characteristics of the oncologists and patients affected by this care model.

resultsBetween 2010 and 2019, the percentage of oncologists in practices with medically integrated dispensing increased from 12.8% to 32.1%. The share of community oncologists in dispensing practices increased from 7.6% to 28.3%, whereas the share of hospital-based oncologists in dispensing practices increased from 18.3% to 33.4%. Rates of medically integrated dispensing varied considerably across states. Oncologists who dispensed had higher patient volumes (

conclusionMedically integrated dispensing has increased significantly among oncology practices over the past 10 years. The reach, clinical impact, and economic implications of medically integrated dispensing should be evaluated on an ongoing basis.

Indexed as

Pharmaceutical ServicesPharmaciesPrescription DrugsAgedHumansMedicareUnited StatesPrescription Drugs

Identifiers

PMID35830621
PMCPMC9835967

What OpenQuestion holds

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Registered trials

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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.