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New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe.

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  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • NAICS/Industry Codes:
      622310 Specialty (except Psychiatric and Substance Abuse) Hospitals
      523999 Miscellaneous Financial Investment Activities
      523930 Investment Advice
    • 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 lifeyears 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 qualityadjusted life-years despite additional spending for lung cancer: −$19,000 per quality-adjusted life-year saved. Our results suggest that cancer care in the United States may provide less value than corresponding cancer care in Western Europe for many leading cancers. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1assistant professor, Dartmouth Institute for Health Policy and Clinical Practice, Norris Cotton Cancer Center, Lebanon, New Hampshire
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2014.0174
    • Accession Number:
      101427974
  • Citations
    • ABNT:
      SONEJI, S.; JAEWON YANG. New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe. Health Affairs, [s. l.], v. 34, n. 3, p. 389–397, 2015. DOI 10.1377/hlthaff.2014.0174. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=101427974&custid=s8280428. Acesso em: 31 maio. 2020.
    • AMA:
      Soneji S, JaeWon Yang. New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe. Health Affairs. 2015;34(3):389-397. doi:10.1377/hlthaff.2014.0174.
    • APA:
      Soneji, S., & JaeWon Yang. (2015). New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe. Health Affairs, 34(3), 389–397. https://doi.org/10.1377/hlthaff.2014.0174
    • Chicago/Turabian: Author-Date:
      Soneji, Samir, and JaeWon Yang. 2015. “New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe.” Health Affairs 34 (3): 389–97. doi:10.1377/hlthaff.2014.0174.
    • Harvard:
      Soneji, S. and JaeWon Yang (2015) ‘New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe’, Health Affairs, 34(3), pp. 389–397. doi: 10.1377/hlthaff.2014.0174.
    • Harvard: Australian:
      Soneji, S & JaeWon Yang 2015, ‘New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe’, Health Affairs, vol. 34, no. 3, pp. 389–397, viewed 31 May 2020, .
    • MLA:
      Soneji, Samir, and JaeWon Yang. “New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe.” Health Affairs, vol. 34, no. 3, Mar. 2015, pp. 389–397. EBSCOhost, doi:10.1377/hlthaff.2014.0174.
    • Chicago/Turabian: Humanities:
      Soneji, Samir, and JaeWon Yang. “New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe.” Health Affairs 34, no. 3 (March 2015): 389–97. doi:10.1377/hlthaff.2014.0174.
    • Vancouver/ICMJE:
      Soneji S, JaeWon Yang. New Analysis Reexamines The Value Of Cancer Care In The United States Compared To Western Europe. Health Affairs [Internet]. 2015 Mar [cited 2020 May 31];34(3):389–97. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=101427974&custid=s8280428