Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality
<p>Abstract</p> <p>Background</p> <p>The economic costs of treating patients with metastatic breast cancer have been examined in several studies, but available estimates of economic burden are at least a decade old. In this study, we characterize healthcare utilization...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-06-01
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| Series: | BMC Cancer |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2407/11/250 |
| _version_ | 1811296408363335680 |
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| author | Borker Rohit Gao Sue Glass Andrew Weycker Derek Vera-Llonch Montserrat Qin Angie Oster Gerry |
| author_facet | Borker Rohit Gao Sue Glass Andrew Weycker Derek Vera-Llonch Montserrat Qin Angie Oster Gerry |
| author_sort | Borker Rohit |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The economic costs of treating patients with metastatic breast cancer have been examined in several studies, but available estimates of economic burden are at least a decade old. In this study, we characterize healthcare utilization and costs in the US among women with metastatic breast cancer receiving chemotherapy as their principal treatment modality.</p> <p>Methods</p> <p>Using a large private health insurance claims database (2000-2006), we identified all women initiating chemotherapy for metastatic breast cancer with no evidence of receipt of concomitant or subsequent hormonal therapy, or receipt of trastuzumab at anytime. Healthcare utilization and costs (inpatient, outpatient, medication) were estimated on a cumulative basis from date of chemotherapy initiation ("index date") to date of disenrollment from the health plan or the end of the study period, whichever occurred first. Study measures were cumulated over time using the Kaplan-Meier Sample Average (KMSA) method; 95% CIs were generated using nonparametric bootstrapping. Findings also were examined among the subgroup of patients with uncensored data.</p> <p>Results</p> <p>The study population consisted of 1444 women; mean (SD) age was 59.1 (12.1) years. Over a mean follow-up of 532 days (range: 3 to 2412), study subjects averaged 1.7 hospital admissions, 10.7 inpatient days, and 83.6 physician office and hospital outpatient visits. Mean (95% CI) cumulative total healthcare costs were $128,556 ($118,409, $137,644) per patient. Outpatient services accounted for 29% of total costs, followed by medication other than chemotherapy (26%), chemotherapy (25%), and inpatient care (20%).</p> <p>Conclusions</p> <p>Healthcare costs-especially in the outpatient setting--are substantial among women with metastatic breast cancer for whom treatment options other than chemotherapy are limited.</p> |
| first_indexed | 2024-04-13T05:48:58Z |
| format | Article |
| id | doaj.art-e10e6ac79ee749af8392aeae50c06aec |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-04-13T05:48:58Z |
| publishDate | 2011-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-e10e6ac79ee749af8392aeae50c06aec2022-12-22T02:59:52ZengBMCBMC Cancer1471-24072011-06-0111125010.1186/1471-2407-11-250Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modalityBorker RohitGao SueGlass AndrewWeycker DerekVera-Llonch MontserratQin AngieOster Gerry<p>Abstract</p> <p>Background</p> <p>The economic costs of treating patients with metastatic breast cancer have been examined in several studies, but available estimates of economic burden are at least a decade old. In this study, we characterize healthcare utilization and costs in the US among women with metastatic breast cancer receiving chemotherapy as their principal treatment modality.</p> <p>Methods</p> <p>Using a large private health insurance claims database (2000-2006), we identified all women initiating chemotherapy for metastatic breast cancer with no evidence of receipt of concomitant or subsequent hormonal therapy, or receipt of trastuzumab at anytime. Healthcare utilization and costs (inpatient, outpatient, medication) were estimated on a cumulative basis from date of chemotherapy initiation ("index date") to date of disenrollment from the health plan or the end of the study period, whichever occurred first. Study measures were cumulated over time using the Kaplan-Meier Sample Average (KMSA) method; 95% CIs were generated using nonparametric bootstrapping. Findings also were examined among the subgroup of patients with uncensored data.</p> <p>Results</p> <p>The study population consisted of 1444 women; mean (SD) age was 59.1 (12.1) years. Over a mean follow-up of 532 days (range: 3 to 2412), study subjects averaged 1.7 hospital admissions, 10.7 inpatient days, and 83.6 physician office and hospital outpatient visits. Mean (95% CI) cumulative total healthcare costs were $128,556 ($118,409, $137,644) per patient. Outpatient services accounted for 29% of total costs, followed by medication other than chemotherapy (26%), chemotherapy (25%), and inpatient care (20%).</p> <p>Conclusions</p> <p>Healthcare costs-especially in the outpatient setting--are substantial among women with metastatic breast cancer for whom treatment options other than chemotherapy are limited.</p>http://www.biomedcentral.com/1471-2407/11/250Costmetastatic breast cancerchemotherapyburden of illness |
| spellingShingle | Borker Rohit Gao Sue Glass Andrew Weycker Derek Vera-Llonch Montserrat Qin Angie Oster Gerry Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality BMC Cancer Cost metastatic breast cancer chemotherapy burden of illness |
| title | Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| title_full | Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| title_fullStr | Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| title_full_unstemmed | Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| title_short | Healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| title_sort | healthcare costs in women with metastatic breast cancer receiving chemotherapy as their principal treatment modality |
| topic | Cost metastatic breast cancer chemotherapy burden of illness |
| url | http://www.biomedcentral.com/1471-2407/11/250 |
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