Evidence map›Paper›PMID 39279779›Full record

ArticleNeuro-oncology practice2024

Healthcare spending versus mortality in central nervous system cancer: Has anything changed?

Eddie Guo, Mehul Gupta, Heather Rossong, Lyndon Boone, Branavan Manoranjan, Shubidito Ahmed, Igor Stukalin, Sanju Lama, Garnette R Sutherland

Abstract read
In one paragraph

Article in Neuro-oncology practice, 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. Article
  2. Article
  3. Article
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

9 authors.

Eddie GuoDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-7223-0505
Mehul GuptaCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Heather RossongDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Lyndon BooneFaculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Branavan ManoranjanDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Shubidito AhmedCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Igor StukalinDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-0943-8637
Sanju LamaDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Garnette R SutherlandDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The financial implications of central nervous system (CNS) cancers are substantial, not only for the healthcare service and payers, but also for the patients who bear the brunt of direct, indirect, and intangible costs. This study sought to investigate the impact of healthcare spending on CNS cancer survival using recent US data. Methods: This study used public data from the Disease Expenditure Project 2016 and the Global Burden of Disease Study 2019. The primary outcome was the annual healthcare spending trend from 1996 and 2016 on CNS tumors adjusted for disease prevalence, alongside morbidity and mortality. Secondary outcomes included drivers of change in healthcare expenditures for CNS cancers. Subgroup analysis was performed stratified by age group, expenditure type, and care type provided. Results: There was a significant increase in total healthcare spending on CNS cancers from $2.72 billion (95% CI: $2.47B to $2.97B) in 1996 to $6.85 billion (95% CI: $5.98B to $7.57B) in 2016. Despite the spending increase, the mortality rate per 100 000 people increased, with 5.30 ± 0.47 in 1996 and 7.02 ± 0.47 in 2016, with an average of 5.78 ± 0.47 deaths per 100 000 over the period. The subgroups with the highest expenditure included patients aged 45 to 64, those with private insurance, and those receiving inpatient care. Conclusions: This study highlights a significant rise in healthcare costs for CNS cancers without corresponding improvements in mortality rate, indicating a mismatch of healthcare spending, contemporary advances, and patient outcomes as it relates to mortality.

Indexed as

brain cancerCNS malignanciescost analysishealth expendituresUSA

Identifiers

PMID39279779
PMCPMC11398934

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.