Association Between Spending and Outcomes for Patients With Cancer

Li, Meng; Lakdawalla, Darius N.; Goldman, Dana P.

doi:10.1200/jco.19.01451

Cited by 9 publications

(8 citation statements)

References 67 publications

(239 reference statements)

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“…In recent years, the development of immune therapy benefits cancer patients substantially, but also leads to a heavy economic burden for them ( 14 ). A review indicates that higher spending on cancer is consistently associated with lower mortality ( 15 ). In other words, loss of income and work-related benefits experienced by the unemployed may lead to adverse health outcomes ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Unemployment and Health-Related Quality of Life in Melanoma Patients During the COVID-19 Pandemic

Guo

Shen

Zhang

et al. 2021

Front. Public Health

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The outbreak of coronavirus disease-2019 (COVID-19) ineluctably caused social distancing and unemployment, which may bring additional health risks for patients with cancer. To investigate the association of the pandemic-related impacts with the health-related quality of life (HRQoL) among patients with melanoma during the COVID-19 pandemic, we conducted a cross-sectional study among Chinese patients with melanoma. A self-administered online questionnaire was distributed to melanoma patients through social media. Demographic and clinical data, and pandemic-related impacts (unemployment and income loss) were collected. HRQoL was determined by the Functional Assessment of Cancer Therapy-General (FACT-G) and its disease-specific module (the melanoma subscale, MS). A total of 135 patients with melanoma completed the study. The mean age of the patients was 55.8 ± 14.2 years, 48.1% (65/135) were male, and 17.04% (34/135) were unemployed since the epidemic. Unemployment of the patients and their family members and income loss were significantly associated with a lower FACT-G score, while the MS score was associated with the unemployment of the patients' family members. Our findings suggested that unemployment is associated with impaired HRQoL in melanoma patients during the COVID-19 epidemic.

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Section: Discussionmentioning

confidence: 99%

Unemployment and Health-Related Quality of Life in Melanoma Patients During the COVID-19 Pandemic

Guo

Shen

Zhang

et al. 2021

Front. Public Health

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“…With rising expenditures on cancer care outpacing other sectors of the US health system, 1 , 2 , 3 national attention has focused on identifying and promoting high-value cancer hospitals, ie, those that consistently deliver excellent outcomes at relatively low cost. 4 National Cancer Institute (NCI)–designated cancer centers (hereafter NCI centers) are academic hospitals recognized for their scientific and research leadership, training and education programs, and clinical expertise in cancer care. 5 Treatment at NCI centers may be associated with improved outcomes, particularly for patients with more severe illness and/or more advanced cancers.…”

Section: Introductionmentioning

confidence: 99%

Differences in Cancer Care Expenditures and Utilization for Surgery by Hospital Type Among Patients With Private Insurance

et al. 2021

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Key Points Question Are there differences in insurer spending and care utilization for patients with private insurance undergoing cancer surgery at National Cancer Institute (NCI) centers vs community hospitals? Findings In this cross-sectional study of 66 878 patients with breast, colon, or lung cancer, surgery at NCI centers, compared with community hospitals, was associated with higher insurer prices paid and higher 90-day postdischarge payments, without differences in length of stay, emergency department use, or hospital readmission. Meaning In this study of patients with private insurance undergoing cancer surgery, insurer spending for a surgical episode was higher at NCI centers than community hospitals, without differences in care utilization.

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“…In recent years, the development of immune therapy bene ts cancer patients substantially, but also leads to a heavy economic burden for them [13]. A review indicates that higher spending on cancer is consistently associated with lower mortality [14]. In other words, loss of income and work-related bene ts experienced by the unemployed may lead to adverse health outcomes [15].…”

Section: Discussionmentioning

confidence: 99%

Unemployment and health-related quality of life in melanoma patients during the COVID-19 pandemic: A web-based cross-sectional study

Guo

Shen

Zhang

et al. 2020

Preprint

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Background The outbreak of coronavirus disease-2019 (COVID-19) ineluctably caused social distancing and unemployment, which may bring additional health risks for patients with cancer. To investigate the association of the pandemic-related impacts with the health-related quality of life (HRQoL) among patients with melanoma during the COVID-19 pandemic, we conducted a cross-sectional study among Chinese patients with melanoma. Methods A self-administered online questionnaire was distributed to melanoma patients through social media. Demographic and clinical data, and pandemic-related impacts (unemployment and income loss) were collected. HRQoL was determined by the Functional Assessment of Cancer Therapy-General (FACT-G) and its disease-specific module (the melanoma subscale, MS). Results A total of 70 patients with melanoma completed the study. The mean age of the patients was 55.2 ± 14.8 years, 45.7% (32/70) were male, and 21.4% (15/70) were unemployed since the epidemic. Unemployment of the patients and their family members and income loss were significantly associated with a lower FACT-G score, while the MS score was associated with the unemployment of the patients’ family members. Conclusions Our findings suggested that unemployment is associated with impaired HRQoL in melanoma patients during the COVID-19 epidemic.

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Association Between Spending and Outcomes for Patients With Cancer

Abstract: Author affiliations and support information (if applicable) appear at the end of this article.

Cited by 9 publications

References 67 publications

Unemployment and Health-Related Quality of Life in Melanoma Patients During the COVID-19 Pandemic

Unemployment and Health-Related Quality of Life in Melanoma Patients During the COVID-19 Pandemic

Differences in Cancer Care Expenditures and Utilization for Surgery by Hospital Type Among Patients With Private Insurance

Unemployment and health-related quality of life in melanoma patients during the COVID-19 pandemic: A web-based cross-sectional study

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