| Racial and ethnic variation in health resource use and cost for prostate cancer. | |
| | |
MedLine Citation:
|
PMID: 20151963 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To analyse the racial and ethnic variation in health resource use (HRU) and direct medical care (DMC) cost in elderly men with prostate cancer. PATIENTS AND METHODS: This was a retrospective case-control study using the linked Surveillance, Epidemiology, and End Results Medicare database. Patients with prostate cancer diagnosed between 1995 and 1998 (50 147 men) were identified and followed retrospectively for 1 year before and 5 years after the diagnosis. Phase-specific HRU and DMC costs were compared between racial and ethnic groups using parametric and nonparametric analysis. To compute the incremental cost of prostate cancer, a matched non-cancer control group was extracted from Medicare database. Poisson and general linear models (log-link) were used to identify the association of race and ethnicity with HRU and DMC cost, after controlling for potentially influential clinical and demographic covariates. RESULTS: The African-American group was more likely to have emergency-room visits (odds ratio 1.19, 95% confidence interval 1.12-1.28) and less likely to have outpatient visits (0.96, 0.96-0.97) than whites. However, the Hispanic group was more likely to have inpatient and outpatient visits (odds ratio 0.88, 0.83-0.91; and 0.93, 0.91-0.95) than whites. Adjusted DMC cost showed racial and ethnic variation in all phases except the treatment and terminal phases. Factors associated with DMC cost varied among racial and ethnic groups. CONCLUSION: The incremental burden of prostate cancer remains significant in the long term. Overall, the cost of prostate cancer care was higher among African-American men than white and Hispanic men. This indicates the need for further research on care-level factors to comprehend the racial and ethnic disparity in HRU and cost. |
| | |
Authors:
|
Ravishankar Jayadevappa; S Bruce Malkowicz; Sumedha Chhatre; Joseph Gallo; J Sanford Schwartz |
Related Documents
:
|
12847583 - Prostate cancer in saudi arabia in 2002. 15885583 - Statins and cholesterol lowering after a cancer diagnosis: why not? 15336553 - Restoration of protein synthesis in pancreatic cancer cells by trans-splicing ribozymes. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2010-02-11 |
Journal Detail:
|
Title: BJU international Volume: 106 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-27 Completed Date: 2010-10-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 801-8 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, 19104-2676, USA. jravi@mail.med.upenn.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Epidemiologic Methods Ethnic Groups / statistics & numerical data* Health Care Costs / statistics & numerical data* Health Resources / economics, statistics & numerical data* Health Services Needs and Demand / economics, statistics & numerical data* Humans Male Prostatic Neoplasms / economics, ethnology*, therapy SEER Program United States / ethnology |
| Grant Support | |
ID/Acronym/Agency:
|
5R03CA 121338-2/CA/NCI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Voiding effects mediated by ?2-adrenoceptors in the anaesthetized male rat.
Next Document: Natural history and long-term testicular growth of acquired undescended testis after spontaneous des...