IDEAS home Printed from https://ideas.repec.org/p/gat/wpaper/0822.html
   My bibliography  Save this paper

Short-Term cost impact of compliance with clinical practice guidelines for initial sarcoma treatment

Author

Listed:
  • Lionel Perrier

    (GATE, University of Lyon, CNRS, ENS-LSH, Centre Léon Bérard, France)

  • Nicola Cautela
  • Magali Morelle

    (GATE, University of Lyon, CNRS, ENS-LSH, Centre Léon Bérard, France)

  • Nathalie Havet

    (GATE, University of Lyon, CNRS, ENS-LSH, Centre Léon Bérard, France)

  • FRançoise Ducimetière
  • Antoine Lurkin
  • Jean-Yves Blay
  • Pierre Biron
  • Dominique Ranchère-Vince
  • Anne-Valérie Decouvelaere
  • Philippe Thiesse
  • Christophe Bergeron
  • François Gilly
  • Guy de Laroche
  • Dominic Cellier
  • Mathieu Laramas
  • Thierry Philip
  • Isabelle Ray-Coquar

Abstract

Background: The impact of compliance to clinical practice guidelines (CPG) on outcomes and/or costs of care has not been completely clarified. Objective: To estimate relationships between medical expenditures and compliance to CPG for initial sarcoma treatment. Research design: Selected cohorts of patients diagnosed with sarcoma in 2005 and 2006, and treated at the University hospital and/or the cancer centre of the Rhône-Alpes region, France (n=90). Main outcome measurements were: patient characteristics, compliance with CPG, health outcomes, and costs. Data were mainly extracted from patient records. The logarithm of treatment costs was modelled using linear and Tobit regressions. Results: Rates of compliance with CPG were 86%, 66%, 88%, 89%, and 95% for initial diagnosis, primary surgical excision, wide surgical excision, chemotherapy, and radiotherapy, respectively. Total average costs reached €24,439, with €1,784, €11,225, €10,360, and €1,016 for diagnosis, surgery (primary and wide surgical excisions), chemotherapy, and radiotherapy, respectively. Compliance of diagnosis with CPG decreased the cost of diagnosis, whereas compliance of primary surgical excision increased the cost of chemotherapy. Compliance of chemotherapy with CPG decreased the cost of radiotherapy. Conclusion: Since chemotherapy is one of the major cost drivers, these results support that compliance with guidelines increases medical care expenditures in short term.

Suggested Citation

  • Lionel Perrier & Nicola Cautela & Magali Morelle & Nathalie Havet & FRançoise Ducimetière & Antoine Lurkin & Jean-Yves Blay & Pierre Biron & Dominique Ranchère-Vince & Anne-Valérie Decouvelaere & Phil, 2008. "Short-Term cost impact of compliance with clinical practice guidelines for initial sarcoma treatment," Working Papers 0822, Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon.
  • Handle: RePEc:gat:wpaper:0822
    as

    Download full text from publisher

    File URL: ftp://ftp.gate.cnrs.fr/RePEc/2008/0822.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. McDonald, John F & Moffitt, Robert A, 1980. "The Uses of Tobit Analysis," The Review of Economics and Statistics, MIT Press, vol. 62(2), pages 318-321, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bernd Süssmuth, 2012. "The Econometric Analysis of Willingness to Pay for Intangibles with Experience Good Character," Chapters, in: Wolfgang Maennig & Andrew Zimbalist (ed.), International Handbook on the Economics of Mega Sporting Events, chapter 14, Edward Elgar Publishing.
    2. Alston Lee J. & Mueller Bernardo, 2018. "Priests, Conflicts and Property Rights: the Impacts on Tenancy and Land Use in Brazil," Man and the Economy, De Gruyter, vol. 5(1), pages 1-26, June.
    3. Insik Min & Jong‐Ho Kim, 2003. "Modeling Credit Card Borrowing: A Comparison of Type I and Type II Tobit Approaches," Southern Economic Journal, John Wiley & Sons, vol. 70(1), pages 128-143, July.
    4. Thomas Bauer & Mathias Sinning, 2011. "The savings behavior of temporary and permanent migrants in Germany," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(2), pages 421-449, April.
    5. Kumar, Nagesh & Saqib, Mohammed, 1996. "Firm size, opportunities for adaptation and in-house R & D activity in developing countries: the case of Indian manufacturing," Research Policy, Elsevier, vol. 25(5), pages 713-722, August.
    6. Cox, Thomas L. & Briggs, Hugh, 1989. "Heteroscedastic Tobit Models: The Household Demand for Fresh Potatoes Revisited," Staff Papers 200482, University of Wisconsin-Madison, Department of Agricultural and Applied Economics.
    7. Yen H. T. Nguyen & Tuyen Q. Tran & Dung T. Hoang & Thu M. T. Tran & Trung T. Nguyen, 2023. "Land quality, income, and poverty among rural households in the North Central Region, Vietnam," Poverty & Public Policy, John Wiley & Sons, vol. 15(2), pages 150-172, June.
    8. Sanae Tashiro, 2009. "Differences in Food Preparation by Race and Ethnicity: Evidence from the American Time Use Survey," The Review of Black Political Economy, Springer;National Economic Association, vol. 36(3), pages 161-180, December.
    9. Maria Luisa Mancusi & Andrea Vezzulli & Serena Frazzoni & Zeno Rotondi & Maurizio Sobrero, 2018. "Export and Innovation in Small and Medium Enterprises: The Role of Concentrated Bank Borrowing," Economica, London School of Economics and Political Science, vol. 85(337), pages 177-204, January.
    10. Seth W. Norton, 2003. "Economic Institutions and Human Well-Being: A Cross-National Analysis," Eastern Economic Journal, Eastern Economic Association, vol. 29(1), pages 23-40, Winter.
    11. Saez, Maria Del Carmen Almansa & Calatrava-Requena, Javier, 2002. "Valuing Externalities of Watershed Restoration and Erosion Control Projects in Mediterranean Basins: A Comparative Analysis of the Contingent Valuation and Replacement Cost Methods," 2002 International Congress, August 28-31, 2002, Zaragoza, Spain 24847, European Association of Agricultural Economists.
    12. Torbern Anderson & Sumner J. La Croix, 1989. "Minority Pitchers in Major League Baseball: Is There Discrimination by Fans?," Working Papers 198913, University of Hawaii at Manoa, Department of Economics.
    13. Bai, Junfei & Wahl, Thomas I. & McCluskey, Jill J., 2008. "Fluid milk consumption in urban Qingdao, China," Australian Journal of Agricultural and Resource Economics, Australian Agricultural and Resource Economics Society, vol. 52(2), pages 1-15.
    14. Anil Kumar, 2012. "Nonparametric estimation of the impact of taxes on female labor supply," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 27(3), pages 415-439, April.
    15. Bernd Süssmuth & Malte Heyne & Wolfgang Maennig, 2010. "Induced Civic Pride and Integration," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 72(2), pages 202-220, April.
    16. Kröger, Hanna & Schaffner, Sandra, 2011. "The Intensive and Extensive Margin of European Labour Supply," Ruhr Economic Papers 291, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    17. Xue, Hong & Mainville, Denise Y. & You, Wen & Nayga, Rodolfo M., Jr., 2009. "Nutrition Knowledge, Sensory Characteristics and Consumers’ Willingness to Pay for Pasture-Fed Beef," 2009 Annual Meeting, July 26-28, 2009, Milwaukee, Wisconsin 49277, Agricultural and Applied Economics Association.
    18. Suma Athreye, 1999. "The Determinants of Firm Innovative Behaviour: The Roles of Rivalry and Persistence," Working Papers wp131, Centre for Business Research, University of Cambridge.
    19. Chen, Jing & Rozelle, Scott, 2003. "Market Emergence And The Rise And Fall Of Backyard Hog Production In China," 2003 Annual meeting, July 27-30, Montreal, Canada 21969, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    20. Richard Mussa, 2013. "Rural--urban differences in parental spending on children's primary education in Malawi," Development Southern Africa, Taylor & Francis Journals, vol. 30(6), pages 789-811, December.

    More about this item

    Keywords

    Oncology; Sarcoma; Cost; Clinical guidelines; Efficacy; Medical Practices;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gat:wpaper:0822. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Nelly Wirth (email available below). General contact details of provider: https://edirc.repec.org/data/gateefr.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.