New analysis reexamines the value of cancer care in the United States compared to Western Europe

Health Affairs
Samir Soneji, JaeWon Yang

Abstract

Despite sharp increases in spending on cancer treatment since 1970 in the United States compared to Western Europe, US cancer mortality rates have decreased only modestly. This has raised questions about the additional value of US cancer care derived from this additional spending. We calculated the number of US cancer deaths averted, compared to the situation in Western Europe, between 1982 and 2010 for twelve cancer types. We also assessed the value of US cancer care, compared to that in Western Europe, by estimating the ratio of additional spending on cancer to the number of quality-adjusted life-years saved. Compared to Western Europe, for three of the four costliest US cancers-breast, colorectal, and prostate-there were approximately 67,000, 265,000, and 60,000 averted US deaths, respectively, and for lung cancer there were roughly 1,120,000 excess deaths in the study period. The ratio of incremental cost to quality-adjusted life-years saved equaled $402,000 for breast cancer, $110,000 for colorectal cancer, and $1,979,000 for prostate cancer-amounts that exceed most accepted thresholds for cost-effective medical care. The United States lost quality-adjusted life-years despite additional spending for lung cancer: -$19,000 p...Continue Reading

References

Jul 8, 2003·International Journal of Cancer. Journal International Du Cancer·Milena SantUNKNOWN EUROCARE Working Group
May 27, 2004·Health Affairs·Uwe E ReinhardtGerard F Anderson
Sep 29, 2004·Health Affairs·Kenneth E ThorpePeter Joski
May 19, 2005·International Journal of Cancer. Journal International Du Cancer·Susan S DevesaD Max Parkin
Jan 13, 2006·International Journal of Cancer. Journal International Du Cancer·Donald Maxwell Parkin
May 16, 2007·Cancer·Nancy BreenTimothy S McNeel
Dec 7, 2007·The Lancet Oncology·Philippe AutierJacques Ferlay
Apr 22, 2008·The Lancet Oncology·Simon M CollinJenny Donovan
May 21, 2008·International Journal of Cancer. Journal International Du Cancer·Stefanos BonovasNikolaos M Sitaras
Sep 22, 2009·The Journal of Economic Perspectives : a Journal of the American Economic Association·David M Cutler
Feb 10, 2010·International Journal of Epidemiology·Diana SarfatiNeil Pearce
Jul 22, 2010·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Ahmedin JemalElizabeth M Ward
Sep 9, 2010·International Journal of Cancer. Journal International Du Cancer·Cristina BosettiCarlo La Vecchia
Oct 19, 2010·Cancer Epidemiology·Robert R GermanUNKNOWN Accuracy of Cancer Mortality Study Group
Mar 31, 2011·Japanese Journal of Clinical Oncology·Kumiko Saika, Tomotaka Sobue
Oct 4, 2011·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C Neppl-HuberUNKNOWN EUNICE Survival Working Group
Apr 12, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Lowell E SchnipperDana S Wollins
Jun 8, 2012·Journal of Surgical Oncology·Maria C Russell, Paul F Mansfield
Jul 21, 2012·International Journal of Cancer. Journal International Du Cancer·Claudia AllemaniMichel P Coleman
Sep 12, 2013·BMJ Open·Claudia AllemaniMichel P Coleman
Dec 10, 2013·The Lancet Oncology·Roberta De AngelisUNKNOWN EUROCARE-5 Working Group
Dec 10, 2013·Gastroenterology·Charles J KahiThomas F Imperiale
Feb 19, 2014·The Lancet Oncology·Ronan J Kelly, Thomas J Smith
Mar 20, 2014·JAMA : the Journal of the American Medical Association·Julia H Hayes, Michael J Barry
May 1, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C Neppl-HuberUNKNOWN EUNICE Survival Working Group

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Citations

Oct 29, 2015·European Urology·Jose LealJ Alfred Witjes
Sep 12, 2015·Health Affairs·Ryan Callahan, Ara Darzi
Sep 9, 2016·Health Affairs·David H HowardDavid C Grabowski
Apr 23, 2019·Journal of Oncology Practice·Martin C TomMatthew C Ward
Jan 24, 2018·Scandinavian Journal of Public Health·Astri SyseJulie P W Bynum
Feb 15, 2020·Journal of Comparative Effectiveness Research·James R BaumgardnerDarius N Lakdawalla
Jun 1, 2016·Forum for Health Economics & Policy·Seth A SeaburyDarius N Lakdawalla
Aug 23, 2019·JAMA Surgery·Sarah B BateniRichard J Bold

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