Total Medicare Costs Associated With Diagnosis and Treatment of Prostate Cancer in Elderly Men

JAMA Oncology
Justin G TrogdonRonald C Chen

Abstract

Localized prostate cancer diagnosis and treatment among elderly men who are not likely to benefit represents a potential source of low-value health care services. To quantify the costs to the Medicare program associated with detection and treatment of prostate cancer among elderly men in the United States. This nationwide, population-based, retrospective cohort study uses the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database to identify men 70 years or older diagnosed with localized prostate cancer between 2004 and 2007 and to ascertain Medicare costs associated with diagnosis and workup, treatment, follow-up, and morbidity management of the disease. National Medicare costs were estimated using per-person costs, stage-adjusted prostate cancer incidence rates by age from SEER 2007 through 2011, and 2010 Census population estimates by age. Estimated costs to the Medicare program overall, and in each (mutually exclusive) category related to diagnosis and workup, treatment, follow-up, and morbidity management. This nationwide, population-based, retrospective cohort study included 49 692 men with nonmetastatic prostate cancer from the SEER-Medicare database (all participants were 70 years or older; 25 981 [...Continue Reading

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Citations

May 16, 2020·Prostate Cancer and Prostatic Diseases·Tyler R McClintockQuoc-Dien Trinh
Nov 4, 2020·JAMA : the Journal of the American Medical Association·Xinglei ShenRonald C Chen
Dec 29, 2020·European Urology Open Science·Christopher J MagnaniTina Hernandez-Boussard
Jan 13, 2021·World Journal of Urology·Craig V LabbateScott E Eggener
Jun 29, 2021·Journal of Biomolecular Structure & Dynamics·Mena Asha KrishnanVenkatesh Chelvam

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