Evidence map›Paper›PMID 38997691›Full record

ArticleBMC health services research2024

A retrospective cohort study to evaluate disease burden, health care resource utilization, and costs in patients with breast cancer in Dubai, UAE.

Dmm Hamza, Mwa Zayed, N Tahoun, M Farghaly, S Kumaresan, B C Ramachandrachar, A Ali

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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.

Dmm HamzaMedical oncology, Dubai Academic Health Cooperation, Dubai, UAE.
Mwa ZayedPfizer Inc. Ltd, Dubai, United Arab Emirates.
N TahounPfizer Inc. Ltd, Dubai, United Arab Emirates.
M FarghalyHealth Economics & Insurance Policies Department, Dubai Health Authority, Dubai, UAE.
S KumaresanEMEA Consulting Services, IQVIA, Bangalore, India.
B C RamachandracharReal-World Evidence, IQVIA, 11th Floor, Convention Tower, DWTC, Al Saada Street Dubai, Dubai, United Arab Emirates. bcramachandrachar@ae.imshealth.com.
A AliPfizer Inc. Ltd, Dubai, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current study evaluated the disease burden, health care resource utilization and analyzed the cost burden due to events of special interest among patients with breast cancer (BC) diagnosed and treated in Dubai, United Arab Emirates (UAE), in general and in the subset of patients treated with cyclin-dependent kinase (CDK) 4/6 inhibitors.

methodsThis retrospective cohort study, using insurance e-claims data from Dubai Real-World Database, was conducted from 01 January 2014 to 30 September 2021. Female patients aged ≥ 18 years with at least 1 diagnosis claim for BC and with continuous enrollment during the index period were included.

resultsOverall, 8,031 patients were diagnosed with BC (median age: 49.0 years), with the majority (68.1%) being in 41-60-year age group. During the post-index period, BC-specific costs contributed to 84% of the overall disease burden among patients with BC. Inpatient costs (USD 16,956.2) and medication costs (USD 10,251.3) contributed significantly to BC-specific costs. In the subgroup of patients in whom CDK4/6 inhibitors were part of the treatment regimen (n = 174), CDK4/6 inhibitors were commonly prescribed in combination with aromatase inhibitors (41.4%) and estrogen receptor antagonists (17.9%). In patients with BC, health care costs due to events of special interest (n = 1,843) contributed to 17% of the overall disease cost burden.

conclusionThe study highlights the significant cost burden among patients with BC, with BC-specific costs contributing to 84% of the overall disease cost burden. Despite few limitations such as study population predominantly comprising of privately insured expatriate patients and only direct healthcare costs being assessed in the current study, most indicative costs have been captured in the study, by careful patient selection and cost comparisons, as applicable. The findings can guide key health care stakeholders (payers and providers) on future policy measures aiming to reduce the cost burden among patients with BC.

Indexed as

Breast NeoplasmsCost of IllnessAdultAgedCyclin-Dependent Kinase 4FemaleHealth Care CostsHealth ResourcesHumansMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited Arab EmiratesYoung AdultCyclin-Dependent Kinase 4Breast cancerCDK4/6 inhibitorsDisease burdenE-claims dataEvents of special interestHealth care resource utilization

Identifiers

PMID38997691
PMCPMC11241818

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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.