Evidence map›Paper›PMID 36241962›Full record

ArticleAdvances in therapy2022

Real-World Analysis of Treatment Patterns, Healthcare Utilization, Costs, and Mortality Among People with Biliary Tract Cancers in the USA.

Marcus J Healey, Brian Seal, Nicole Princic, Danae Black, Elisabetta Malangone-Monaco, Nilofer S Azad, Rory L Smoot

Open access · bronzeAbstract 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 10 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

7 authors at 4 institutions in 1 country.

Marcus J HealeyAstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.
Brian SealAstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.
Nicole PrincicReal World Data Research & Analytics, Merative, Previously IBM Watson Health, 75 Binney St, Cambridge, MA, 02142, USA. nprincic@merative.com.
Danae BlackReal World Data Research & Analytics, Merative, Previously IBM Watson Health, 75 Binney St, Cambridge, MA, 02142, USA.ORCID 0000-0002-8310-1733
Elisabetta Malangone-MonacoReal World Data Research & Analytics, Merative, Previously IBM Watson Health, 75 Binney St, Cambridge, MA, 02142, USA.
Nilofer S AzadJohn Hopkins School of Medicine, Baltimore, MD, USA.
Rory L SmootDivision of Hepatobiliary and Pancreas Surgery, Mayo Clinic, Rochester, NY, USA.
IBM (United States) · USAstraZeneca (United States) · USJohns Hopkins University · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeople with advanced biliary tract cancers (BTCs) have a 5-year survival of approximately 2% in the USA. Most cases are inoperable or require systemic treatment following surgery. This study adds to current literature by describing treatment patterns, healthcare resource utilization (HCRU), costs, and mortality among people with BTCs.

methodsAdults diagnosed with BTCs were identified in the Merative MarketScan administrative claims databases from 1 January 2016 to 30 June 2020. Descriptive analysis was used to measure treatment patterns (i.e., regimen types, therapy duration) during three lines of therapy (LOT). All-cause and disease-related HCRU and costs were measured per-patient-per-month (PPPM) during the entire follow-up and in each LOT. Mortality was reported among the subset linked to the National Death Index (NDI).

resultsThere were 2648 eligible people with BTCs [mean age 64.0 (standard deviation [SD] 12.4) years, 51.5% female, average follow-up 11.9 (SD 11.1) months]. Treatment was received by 56.3% (n = 1490), and 20.9% (n = 5534) and 7.1% (n = 187) moved on to a second and third LOT, respectively. The average treatment duration decreased across LOTs, from 3.8 (SD 3.1) months in LOT1 to 2.6 (SD 2.4) months in LOT3. Gemcitabine + cisplatin was the most common regimen in LOT1 (44.6%). Total all-cause mean healthcare costs PPPM increased after LOT1 (mean $21,517, $29,721, and $28,557, for LOT1, LOT2, and LOT3, respectively) and the majority (71.2%) were related to BTCs. Of people with BTCs linked to the NDI (n = 2168), 66.1% died and average time to death was 11.3 (SD 11.2) months.

conclusionsThese findings, showing a high rate of mortality, a decrease in treatment duration, and an increase in costs as people progress after LOT1, add recent data to current literature highlighting the unmet need for more effective treatment options for people with BTCs.

Indexed as

Biliary Tract NeoplasmsHealth Care CostsAdultFemaleHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesBiliary tract cancerCost of illnessHealthcareUSA

Identifiers

PMID36241962
PMCPMC9568962
OpenAlexW4306249775

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.