Cancer costs and gender: a snapshot of issues, trends, and opportunities to reduce inequities using Australia as an example

Feletto, Eleonora; Grogan, Paul; Vassallo, Amy; Canfell, Karen

doi:10.1080/13697137.2019.1642319

Cited by 2 publications

(2 citation statements)

References 44 publications

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“…Differences in total healthcare costs between males and females with advanced cancer and pain is consistent with previous evidence which suggests a gender difference in total healthcare resource utilisation and costs for people living with cancer [99,100]. Previous studies suggest women are less likely to have surgery at the time of diagnosis and chemotherapy is used less often [99][100][101][102], consistent with the exploratory, post hoc findings. There is also limited evidence to suggest men and women perceive and respond to pain differently driven by biological, psychological and cultural factors [103,104].…”

Section: Plos Onesupporting

confidence: 89%

Treatment patterns and out-of-hospital healthcare resource utilisation by patients with advanced cancer living with pain: An analysis from the Stop Cancer PAIN trial

et al. 2023

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Background About 70% of patients with advanced cancer experience pain. Few studies have investigated the use of healthcare in this population and the relationship between pain intensity and costs. Methods Adults with advanced cancer and scored worst pain ≥ 2/10 on a numeric rating scale (NRS) were recruited from 6 Australian oncology/palliative care outpatient services to the Stop Cancer PAIN trial (08/15-06/19). Out-of-hospital, publicly funded services, prescriptions and costs were estimated for the three months before pain screening. Descriptive statistics summarize the clinico-demographic variables, health services and costs, treatments and pain scores. Relationships with costs were explored using Spearman correlations, Mann-Whitney U and Kruskal-Wallis tests, and a gamma log-link generalized linear model. Results Overall, 212 participants had median worst pain scores of five (inter-quartile range 4). The most frequently prescribed medications were opioids (60.1%) and peptic ulcer/gastro-oesophageal reflux disease (GORD) drugs (51.6%). The total average healthcare cost in the three months before the census date was A$6,742 (95% CI $5,637, $7,847), approximately $27,000 annually. Men had higher mean healthcare costs than women, adjusting for age, cancer type and pain levels (men $7,872, women $4,493, p<0.01) and higher expenditure on prescriptions (men $5,559, women $2,034, p<0.01). Conclusions In this population with pain and cancer, there was no clear relationship between healthcare costs and pain severity. These treatment patterns requiring further exploration including the prevalence of peptic ulcer/GORD drugs, and lipid lowering agents and the higher healthcare costs for men. Trial registration ACTRN12615000064505. World Health Organisation unique trial number U1111–1164–4649. Registered 23 January 2015.

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Section: Plos Onesupporting

confidence: 89%

Treatment patterns and out-of-hospital healthcare resource utilisation by patients with advanced cancer living with pain: An analysis from the Stop Cancer PAIN trial

et al. 2023

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“…For example, clinical and epidemiological manifestations an d responses to treatment of common cancers would differ between women and men depending on health behaviors, dietary risk factors, and the sensitivity of the reproductive system. 35 36 37 In its commitment to the Gender Equality Plan, the European Commission (EC) requires all research and innovation projects funded by the EC to integrate the gender dimension. 38 Since 2016, the National Institutes of Health (NIH) of the US has asked grant applicants to explain how sex and gender are factored in research designs and analyses for studies in vertebrate animals and humans.…”

Section: Discussionmentioning

confidence: 99%

Trend of Women’s Health Research in Korea, 2012–2020: Topic and Text Network Analysis

Park

Kim

et al. 2023

J Korean Med Sci

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Background With the epidemiological transition, sociodemographic changes and differential lifetime experiences of women, women’s health research improves knowledge of diverse health issues and the impact of policies. To explore the initiatives of women’s health research in Korea, the present study examined the trends and topics of research on women’s health funded by the government. Methods We searched all research projects on women’s health funded by the government between 2012 and 2020 in Korea using the National Science & Technology Information Service database. We reviewed all the titles and abstract of the projects and examined the research trends by year. Content analysis was performed using both deductive and inductive approaches. Text network analysis and visualization by topic were conducted for keywords with a minimum of 10 occurrences in the title and abstract. Results Total number and funding amount of research projects on women’s health in 2020 increased by 2.4 and 2.2 times over 2012 levels, respectively. The Ministry of Health and Welfare and the Ministry of Food and Drug Safety funded 20.9% of all projects. The majority of the topics (59.8%) addressed breast and gynecological cancers. Those on sexual and reproductive health accounted for 16.7%, with steep growth in the number (6.1 times) and funding (11.1 times) over 2012 levels. The topic analysis presented a more complex keyword network in 2020 than in 2012; however, the keywords frequently used in 2020 were similar to those of 2012. Conclusion Women’s health research projects have been growing in number and funding, with limited diversity in topics. Diversifying the topics and focusing on issues beyond the breast and pregnancy would be needed to reflect the complete life course of women. Institutionalization of diverse communication channels with various interest groups for women’s health would be needed to better understand women’s health needs from a public health perspective.

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Cancer costs and gender: a snapshot of issues, trends, and opportunities to reduce inequities using Australia as an example

Cited by 2 publications

References 44 publications

Treatment patterns and out-of-hospital healthcare resource utilisation by patients with advanced cancer living with pain: An analysis from the Stop Cancer PAIN trial

Treatment patterns and out-of-hospital healthcare resource utilisation by patients with advanced cancer living with pain: An analysis from the Stop Cancer PAIN trial

Trend of Women’s Health Research in Korea, 2012–2020: Topic and Text Network Analysis

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