An international comparison of costs of end-of-life care for advanced lung cancer patients using health administrative data

Palliative Medicine
Karen E BremnerK Robin Yabroff

Abstract

Patterns of end-of-life cancer care differ in Canada and the United States; yet little is known about differences in service-specific and overall costs. The aim of this study was to compare end-of-life costs in Ontario, Canada, and the United States, using administrative health data. Advanced-stage nonsmall cell lung cancer patients who died from cancer at age ⩾ 65.5 years in 2001-2005 were selected from the US Surveillance, Epidemiology, and End Results-Medicare database (N = 16,858) and the Ontario Cancer Registry (N = 8643). We estimated total and service-specific costs (2009 US dollars) in each of the last 6 months of life from the public payer perspectives for short-term and long-term survivors (lived < 180 and ⩾ 180 days post-diagnosis, respectively). Services were defined for comparisons between systems. Mean monthly costs increased as death approached, were higher in short-term than long-term survivors, and were generally higher in the United States than in Ontario until the month before death, when they were similar (long-term survivors: US$10,464 and US$10,094 (p = 0.53), short-term survivors US$14,455 and US$12,836 (p = 0.11), in Surveillance, Epidemiology, and End Results-Medicare and Ontario, respectively). Costs f...Continue Reading

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Citations

Oct 24, 2015·Palliative Medicine·Nikki McCaffreyJoanna Coast
Dec 19, 2018·International Journal of Environmental Research and Public Health·Zhong LiLiang Zhang
Jan 17, 2017·Gerontology & Geriatric Medicine·Satish K KediaXinhua Yu
Jan 25, 2018·Journal of Palliative Care·Su Hyun KimMi-Kyung Song
Jun 18, 2019·Journal of Oncology Practice·Mark R WaddleRobert C Miller
Jan 29, 2021·Japanese Journal of Clinical Oncology·Nobuyasu AwanoHideo Kunitoh
Feb 20, 2021·Journal of Comparative Effectiveness Research·Eleni KokkotouGeorgia Kourlaba

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