Evidence map›Paper›PMID 36810207›Full record

ArticleBMJ open gastroenterology2023

Cost of hepatocellular carcinoma to the national health service in England: a registry-based analysis.

Katherine Cullen, Mari Jones, Rhys D Pockett, Anya Burton, Timothy J S Cross, Ian A Rowe, Lizz Paley, Daniela Tataru, Graeme Alexander, Aileen Marshall and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-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

7 citing papers in PubMed, 9 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

11 authors at 7 institutions in 5 countries.

Katherine CullenFaculty of Medicine, Health and Life Sciences, Swansea University, Swansea, UK katherine.cullen@swansea.ac.uk.ORCID 0000-0002-3704-4598
Mari JonesFaculty of Medicine, Health and Life Sciences, Swansea University, Swansea, UK.
Rhys D PockettFaculty of Medicine, Health and Life Sciences, Swansea University, Swansea, UK.
Anya BurtonBristol Medical School, Translational Health Sciences, University of Bristol, Bristol, UK.
Timothy J S CrossConsultant in Liver Medicine, Department of Gastroenterology & Hepatology, The Royal Liverpool University Hospital, Liverpool, UK.
Ian A RoweLeeds Institute for Medical Research, School of Medicine, University of Leeds, Leeds, UK.
Lizz PaleyNational Cancer Registration and Analysis Service, National Disease Registration Service, NHS Digital, UK.
Daniela TataruNational Cancer Registration and Analysis Service, National Disease Registration Service, NHS Digital, UK.
Graeme AlexanderInstitute for Liver and Digestive Health, Division of Medicine, University College London, London, UK.
Aileen MarshallSheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, London, UK.
Deborah FitzsimmonsFaculty of Medicine, Health and Life Sciences, Swansea University, Swansea, UK.
Swansea University · GBNHS Digital · GBInstitute for Liver Health · USRoyal Free London NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Leeds · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHepatocellular carcinoma (HCC) incidence in the UK trebled between 1997 and 2017. With increasing numbers requiring treatment, understanding the likely impact on healthcare budgets can inform service planning and commissioning. The aim of this analysis was to use existing registry data to describe the direct healthcare costs of current treatments for HCC and estimate the impact on National Health Service (NHS) budgets.

designA retrospective data analysis based on the National Cancer Registration and Analysis Service cancer registry informed a decision-analytic model for England comparing patients by cirrhosis compensation status and those on palliative or curative treatment pathways. Potential cost drivers were investigated by undertaking a series of one-way sensitivity analyses.

resultsBetween 1 January 2010 and 31 December 2016, 15 684 patients were diagnosed with HCC. The median cost per patient over 2 years was £9065 (IQR: £1965 to £20 491), 66% did not receive active therapy. The cost of HCC treatment for England over 5 years was estimated to be £245 million.

conclusionThe National Cancer Registration Dataset and linked data sets have enabled a comprehensive analysis of the resource use and costs of secondary and tertiary healthcare for HCC, providing an overview of the economic impact to the NHS England of treating HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsEnglandHumansRegistriesRetrospective StudiesState MedicineCANCER REGISTRIESHEALTH ECONOMICSHEPATOCELLULAR CARCINOMALIVER

Identifiers

PMID36810207
PMCPMC9945044
OpenAlexW4321452076

What OpenQuestion holds

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LicenceCC BY-NC
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.