Comparison of Cancer-Related Spending and Mortality Rates in the US vs 21 High-Income Countries

Chow, Ryan D.; Bradley, Elizabeth H.; Gross, Cary P.

doi:10.1001/jamahealthforum.2022.1229

Cited by 27 publications

(19 citation statements)

References 65 publications

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“…Cross-sectional studies confirm that large health care expenditures are associated with lower cancer mortality. However, studies of the periods up to and after 2011 in the United States have shown that this is not a linear relationship [ 13 ]. The group with the highest investment in both financial and human resources ranked second, in terms of breast cancer mortality rates.…”

Section: Discussionmentioning

confidence: 99%

Health Care Accessibility and Breast Cancer Mortality in Europe

Ciuba

Wnuk²,

Nitsch–Osuch

et al. 2022

IJERPH

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Background: Breast cancer is the most common cause of death, due to malignant neoplasms in women worldwide. The nature of the symptoms associated with breast cancer depends on the stage of the disease. In this case, any cancerous changes in the initial phase of the disease can only be detected during imaging tests. Participation in mammography screening can reduce breast cancer mortality by up to 40%, if only 70% of the eligible population participates in preventive programs. The purpose of the study was to assess the impact of accessibility to health care resources on breast cancer mortality. Methods: Eurostat aggregated health care data was extracted. Hierarchical cluster analysis of average breast cancer mortality identified four groups of countries with similar mortality rates and trends. The data was then analyzed, in terms of access to health care. Results: It was observed that the higher the financial expenditure on health care and the better the health care accessibility, the lower the mortality rates of breast cancer. Conclusions: There are examples indicating that the studied elements are not the only factors affecting the improvement of population health. The authors would like to emphasize the need to influence lifestyle factors, direct cancer risk, and introduce a multidisciplinary approach to breast cancer prevention.

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Section: Discussionmentioning

confidence: 99%

Health Care Accessibility and Breast Cancer Mortality in Europe

Ciuba

Wnuk²,

Nitsch–Osuch

et al. 2022

IJERPH

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“…While the initiation of a nationwide screening program may have a primary role in lowering colorectal cancer ASMR through early detection and treatment of cancerous lesions in their earlier state, there are additional policy-induced contributing factors to the decrease in ASMR over the years including increasing awareness for higher adherence rates of screening [ 3 , 15 ], better treatment options available through insurance coverage [ 16 ], and nationwide quality assessment of the treatment given to colorectal cancer patients [ 17 ]. This has in turn led to a higher standard of care where Korea is now one of the leading countries in terms of colorectal cancer treatment and survival rates [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Colorectal cancer mortality trends in the era of cancer survivorship in Korea: 2000–2020

Kim

Park

et al. 2022

Ann Coloproctol

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Purpose: Korea has implemented an early screening for colorectal cancer since 2004. However, it is not known whether this has translated into improved survival over the years.Methods: We acquired colorectal cancer mortality data from the Cause of Death Statistics in Korea from 2000 to 2020. We characterized the data into year of death, cancer-specific loci, and age group. We analyzed age-standardized mortality rates (ASMR) according to year of death, age group, and primary location to find trends in colorectal cancer mortality over a 20-year period.Results: The crude mortality rate of colorectal cancer increased from 8.78 per 100,000 in 2000 to 17.27 per 100,000 in 2020. The second decade was slower in increments compared to the first decade. ASMR showed a decrease over the second decade after an initial increase in the first decade. The decrease was primarily from the lowering of ASMR for rectosigmoid cancers. Age group analysis showed a lowering of ASMR mainly in the 45–59-year, 60–74-year, and ≥ 75-year age groups; however, 0–29-year and 30–44-year age groups showed generally unchanged ASMR over the total period.Conclusion: After a brief incline of age-specific mortality of colorectal cancers during the early 2000s, colorectal cancer mortality has gradually been decreasing in the past decade. This was mainly due to decreased mortalities in rectosigmoid colon cancers especially in the age groups that were the target of early screening.

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“…During 2022, more than 1000 manuscripts were submitted to JAMA Health Forum from authors in 30 countries across 6 continents, including more than 700 research manuscripts and nearly 300 opinion manuscripts (Table). New submissions rose from about 600 research manuscripts and 250 opinion manuscripts in 2021, representing increases of 21% and 14%, respectively.…”

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confidence: 99%

JAMA Health Forum—The Year in Review, 2022

Ayanian

2023

JAMA Health Forum

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Since its launch in May 2021 as a peer-reviewed, online, open-access journal focused on health policy, health equity, and health care delivery, 1 JAMA Health Forum has gained substantial momentum as a leading source of policy-relevant research and insightful commentary. Major milestones during 2022 included acceptance of the journal for full indexing in MEDLINE/PubMed of the National Library of Medicine and the Emerging Sources Citation Index of the Clarivate Web of Science. 2 JAMA Health Open Access. This is an open access article distributed under the terms of the CC-BY License.

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Comparison of Cancer-Related Spending and Mortality Rates in the US vs 21 High-Income Countries

Cited by 27 publications

References 65 publications

Health Care Accessibility and Breast Cancer Mortality in Europe

Health Care Accessibility and Breast Cancer Mortality in Europe

Colorectal cancer mortality trends in the era of cancer survivorship in Korea: 2000–2020

JAMA Health Forum—The Year in Review, 2022

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