Evidence map›Paper›PMID 38131646›Full record

ArticleCancer medicine2024

Hospital- and county-level characteristics explain geographic variability in prices of cancer-related procedures: Implications for policy and interventions.

Jennifer L Moss, Savanna G Ledford, Veronica Bernacchi, Chan Shen

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 7% 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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jennifer L MossDepartment of Family and Community Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.ORCID 0000-0002-3794-1344
Savanna G LedfordDepartment of Public Health Sciences, Penn State College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Veronica BernacchiDepartment of Family and Community Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Chan ShenDepartment of Public Health Sciences, Penn State College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Pennsylvania State University · US

Funding

Overcoming barriers to cancer screening among women living in rural and segregated communitiesK22CA225705 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MOSS, JENNIFER LINDSAY · 2019 to 2022
$629k
NCI NIH HHS K22 CA225705NIH HHS K22 CA225705Presidential Post-doctoral Fellowship Program
6 · The paper itself

Abstract

backgroundHealthcare costs in the U.S. are high and variable, which can hinder access and impact health outcomes across communities. This study examined hospital- and county-level characteristics to identify factors that explain geographic variation in prices for four cancer-related procedures.

methodsData sources included Turquoise Health, which compiles publicly-available price data from U.S. hospitals. We examined list prices for four procedures: abdominal ultrasound, diagnostic colonoscopy, brain MRI, and pelvis CT scan, which we linked to characteristics of hospitals (e.g., number of beds) and counties (e.g., metropolitan status). We used multilevel linear regression models to assess multivariable relationships between prices and hospital- and county-level characteristics. Supplementary analyses repeated these models using procedures prices for commercial insurance plans.

resultsFor each procedure, list prices varied across counties (intraclass correlation: abdominal ultrasound = 23.2%; colonoscopy = 17.1%; brain MRI = 37.2%; pelvis CT = 50.9%). List prices for each procedure were associated with hospital ownership (all p < 0.001) and percent of population without health insurance (all p < 0.05). For example, list prices for abdominal ultrasound were higher for proprietary versus Government-owned hospitals (β = 539.10, 95% confidence interval [CI]: 256.12, 822.08, p < 0.001) and for hospitals in counties with more uninsured residents (β = 23.44, 95% CI: 2.55, 44.33, p = 0.03). Commercial insurance prices were negatively associated with metropolitan status.

conclusionsPrices for cancer-related healthcare procedures varied substantially, with considerable heterogeneity associated with county location as well as county-level social determinants of health (e.g., health insurance coverage). Interventions and policy changes are needed to alleviate the financial burden of cancer care among patients, including geographic variation in prices for cancer-related procedures.

Indexed as

NeoplasmsColonoscopyHealth Care CostsHealth PolicyHospitalsHumansMagnetic Resonance ImagingTomography, X-Ray ComputedUnited Statesgeographyhealthcare costsmetropolitan statussocial determinants of health

Identifiers

PMID38131646
PMCPMC10807617
OpenAlexW4390105248

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LicenceCC BY
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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.