Evidence map›Paper›PMID 37982959›Full record

Observational studyBreast cancer (Tokyo, Japan)2024

Medical care costs according to the stage and subtype of breast cancer in a municipal setting: a case study of Hachioji City, Japan.

Yoshitaka Nishikawa, Nobukazu Agatsuma, Takahiro Utsumi, Taro Funakoshi, Yukiko Mori, Yuki Nakamura, Nobuaki Hoshino, Takahiro Horimatsu, Takumi Saito, Soichiro Kashihara and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Breast cancer (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Observational
  3. 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

15 authors.

Yoshitaka NishikawaDepartment of Health Informatics, Kyoto University School of Public Health, Yoshidakonoecho, Sakyo-Ku, Kyoto, 606-8501, Japan. ynishikawa-tky@umin.ac.jp.ORCID http://orcid.org/0000-0003-3313-1990
Nobukazu AgatsumaDepartment of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takahiro UtsumiDepartment of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Taro FunakoshiDepartment of Therapeutic Oncology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yukiko MoriDepartment of Therapeutic Oncology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yuki NakamuraDepartment of Breast Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Nobuaki HoshinoInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Takahiro HorimatsuInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Takumi SaitoCancerscan, Co., Ltd, Tokyo, Japan.
Soichiro KashiharaCancerscan, Co., Ltd, Tokyo, Japan.
Jun FukuyoshiCancerscan, Co., Ltd, Tokyo, Japan.
Rei GotoGraduate School of Business Administration, Keio University, Yokohama, Japan.
Masakazu ToiDepartment of Breast Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yoshimitsu TakahashiDepartment of Health Informatics, Kyoto University School of Public Health, Yoshidakonoecho, Sakyo-Ku, Kyoto, 606-8501, Japan.
Takeo NakayamaDepartment of Health Informatics, Kyoto University School of Public Health, Yoshidakonoecho, Sakyo-Ku, Kyoto, 606-8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is important to assess whether the early detection of breast cancer affects medical care costs. However, research remains scant on the actual medical care costs associated with breast cancer treatment in Japan. This study aimed to determine the medical care costs of breast cancer treatment based on its stage using national health insurance claims data.

methodsThis was an observational study including patients with breast cancer who had undergone breast cancer treatment, as defined by the disease name and related treatment codes. Between August 2013 and June 2016, patients who underwent surgical treatment without axillary lymph node dissection and other radical treatment were classified as the curable group, while those who underwent palliative treatment were classified as the non-curable group. Patients were further stratified by subtype. The total and treatment-specific medical care costs for the five years were calculated using the national health insurance claims data of Hachioji City between August 2013 and May 2021.

resultsThe mean total medical care costs for the curable and non-curable groups for the 5 years were JPY 3958 thousand (standard deviation 2664) and JPY 8289 thousand (8482), respectively. The mean medical care costs for specific breast cancer treatment for the curable and non-curable groups were JPY 1142 (728) thousand and JPY 3651 thousand (5337), respectively. Further, human epidermal growth factor receptor 2 + , Hormone + patients had the highest mean cost over the 5 years.

conclusionsThe results suggest that the early detection of breast cancer may reduce medical care costs at the patient level.

Indexed as

Breast NeoplasmsFemaleHealth Care CostsHumansJapanLymph Node ExcisionBreast neoplasmsCase studyHealthcare administrative claimsMedical care costs

Identifiers

PMID37982959
PMCPMC10764488

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.