Evidence map›Paper›PMID 40238225›Full record

ArticleJNCI cancer spectrum2025

Trends in Medicare payments within the first year of cervical cancer diagnosis, 2010-2019.

Mohammad A Karim, Ning Zhang, Hui Zhao, Ya-Chen Tina Shih, Lakshmi S M Kodali, Sharon H Giordano, Sanjay Shete

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mohammad A KarimDepartment of Healthcare Administration and Policy, University of Nevada Las Vegas, Las Vegas, NV, United States.ORCID 0000-0003-1351-6957
Ning ZhangDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0009-0008-5895-1040
Hui ZhaoDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0003-4742-1139
Ya-Chen Tina ShihProgram in Cancer Health Economics Research, University of California Los Angeles Jonsson Comprehensive Cancer Center, Los Angeles, CA, United States.ORCID 0000-0001-7290-3864
Lakshmi S M KodaliDepartment of Public Health and Health Sciences, University of Michigan-Flint, Flint, MI, United States.ORCID 0009-0009-2200-8234
Sharon H GiordanoDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0002-8700-2767
Sanjay SheteDepartment of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0001-7622-376X

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
Targeted Oral Anticancer Agents: Patterns of Indicated and Off-Label Use, the Associated Factors, and Economic ImplicationsR01CA225647 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHIH, YA-CHEN TINA · 2019 to 2023
$1.8M
Betty B. Marcus Chair in Cancer PreventionCancer Prevention and Research Institute of Texas RP170259Duncan Family Institute for Cancer Prevention and Risk AssessmentNCI NIH HHS 5P30CA016672NCI NIH HHS HHSN261201800009CNCI NIH HHS HHSN261201800009INCI NIH HHS HHSN261201800015CNCI NIH HHS HHSN261201800015INCI NIH HHS HHSN261201800032CNCI NIH HHS HHSN261201800032INCI NIH HHS P30 CA016672NCI NIH HHS R01 CA225647NCI NIH HHS R01CA225647
6 · The paper itself

Abstract

Assessing Medicare payment trends for cervical cancer care is important to mitigate the financial impact on Medicare. This multiyear cross-sectional study included 65 years and older cervical cancer patients in SEER registries diagnosed between 2010 and 2019 who had continuous Part A and B Medicare coverage at least 6 months before diagnosis and at least within the first year of diagnosis and were not enrolled in any Health Maintenance Organization (HMO) in this duration. The main outcomes were trends in total and service-specific mean monthly Medicare payments within the first year of a cervical cancer diagnosis. This study included 2147 cervical cancer patients. The mean Medicare payments increased from $8300 in 2010 to $8520 in 2019, largely driven by a statistically significant increase in outpatient services costs, from $1361 to $2056 (AAPC = 5.45, 95% CI = 1.38 to 9.67, P = .008). These findings highlight the need for policy actions to mitigate cervical-cancer-related financial impact on Medicare.

Indexed as

Health ExpendituresMedicareUterine Cervical NeoplasmsAgedAged, 80 and overAmbulatory CareCross-Sectional StudiesFemaleHumansSEER ProgramUnited States

Identifiers

PMID40238225
PMCPMC12097483

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.