Evidence map›Paper›PMID 37329254›Full record

ArticleCancer2023

The cost burden of metastatic prostate cancer in the US populations covered by employer-sponsored health insurance.

Michal Horný, K Robin Yabroff, Christopher P Filson, Zhiyuan Zheng, Donatus U Ekwueme, Thomas B Richards, David H Howard

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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.

Michal HornýSchool of Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0000-0003-3624-6398
K Robin YabroffHealth Services Research, and Health Equity Science, American Cancer Society, Atlanta, Georgia, USA.
Christopher P FilsonSchool of Medicine, Emory University, Atlanta, Georgia, USA.
Zhiyuan ZhengHealth Services Research, and Health Equity Science, American Cancer Society, Atlanta, Georgia, USA.ORCID 0000-0002-7665-3564
Donatus U EkwuemeDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Thomas B RichardsDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-4688-1459
David H HowardRollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-4465-0414
American Cancer Society · USCenters for Disease Control and Prevention · USEmory University · USEmory Healthcare · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundRecent advancements in the clinical management of metastatic prostate cancer include several costly therapies and diagnostic tests. The objective of this study was to provide updated information on the cost to payers attributable to metastatic prostate cancer among men aged 18 to 64 years with employer-sponsored health plans and men aged 18 years or older covered by employer-sponsored Medicare supplement insurance.

methodsBy using Merative MarketScan commercial and Medicare supplemental data for 2009-2019, the authors calculated differences in spending between men with metastatic prostate cancer and their matched, prostate cancer-free controls, adjusting for age, enrollment length, comorbidities, and inflation to 2019 US dollars.

resultsThe authors compared 9011 patients who had metastatic prostate cancer and were covered by commercial insurance plans with a group of 44,934 matched controls and also compared 17,899 patients who had metastatic prostate cancer and were covered by employer-sponsored Medicare supplement plans with a group of 87,884 matched controls. The mean age of patients with metastatic prostate cancer was 58.5 years in the commercial samples and 77.8 years in the Medicare supplement samples. Annual spending attributable to metastatic prostate cancer was $55,949 per person-year (95% confidence interval [CI], $54,074-$57,825 per person-year) in the commercial population and $43,682 per person-year (95% CI, $42,022-$45,342 per person-year) in the population covered by Medicare supplement plans, both in 2019 US dollars.

conclusionsThe cost burden attributable to metastatic prostate cancer exceeds $55,000 per person-year among men with employer-sponsored health insurance and $43,000 among those covered by employer-sponsored Medicare supplement plans. These estimates can improve the precision of value assessments of clinical and policy approaches to the prevention, screening, and treatment of prostate cancer in the United States.

Indexed as

MedicareProstatic NeoplasmsAgedHumansInsurance, HealthInsurance, MedigapMaleMiddle AgedProstateUnited Statescost of illnesshealth care costsinsuranceMedigapneoplasm metastasisprostatic neoplasms

Identifiers

PMID37329254
PMCPMC10527879
OpenAlexW4381052814

What OpenQuestion holds

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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.