IDEAS home Printed from https://ideas.repec.org/p/hal/journl/halshs-00322614.html
   My bibliography  Save this paper

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

Author

Listed:
  • Lionel Perrier

    () (Université de Lyon, Centre Léon Bérard [Lyon], GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique)

  • Nicola Cautela

    (Université de Lyon, LEFI - Laboratoire d'Economie de la Firme et des Institutions - UL2 - Université Lumière - Lyon 2)

  • Magali Morelle

    (Université de Lyon, Centre Léon Bérard [Lyon], GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique)

  • Nathalie Havet

    () (Université de Lyon, GATE - Groupe d'analyse et de théorie économique - UL2 - Université Lumière - Lyon 2 - Ecole Normale Supérieure Lettres et Sciences Humaines - CNRS - Centre National de la Recherche Scientifique)

  • Françoise Ducimetière

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Antoine Lurkin

    (Université de Lyon, SIS - Santé Individu Société - SIS - INSERM - Institut National de la Santé et de la Recherche Médicale - UJM - Université Jean Monnet [Saint-Étienne] - HCL - Hospices Civils de Lyon - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - Université Jean Moulin - Lyon III - UL2 - Université Lumière - Lyon 2)

  • Jean-Yves Blay

    (Université de Lyon, Oncogénèse et progression tumorale - Centre Léon Bérard [Lyon] - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale)

  • Pierre Biron

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Dominique Ranchère-Vince

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Anne-Valérie Decouvelaere

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Philippe Thiesse

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Christophe Bergeron

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • François Gilly

    (Université de Lyon, CHLS - Centre Hospitalier Lyon Sud [CHU - HCL] - HCL - Hospices Civils de Lyon)

  • Guy De Laroche

    (Institut de Cancérologie de la Loire Lucien Neuwirth - CHU de Saint-Etienne - Centre Hospitalier Universitaire de Saint-Etienne)

  • Dominic Cellier

    (Merck Santé - Lyon - Merck Serono)

  • Mathieu Laramas

    (CHU de Grenoble - Centre hospitalier universitaire de Grenoble - CHU Grenoble)

  • Thierry Philip

    (Université de Lyon, Centre Léon Bérard [Lyon])

  • Isabelle Ray-Coquard

    (Université de Lyon, SIS - Santé Individu Société - SIS - INSERM - Institut National de la Santé et de la Recherche Médicale - UJM - Université Jean Monnet [Saint-Étienne] - HCL - Hospices Civils de Lyon - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - Université Jean Moulin - Lyon III - UL2 - Université Lumière - Lyon 2)

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," Post-Print halshs-00322614, HAL.
  • Handle: RePEc:hal:journl:halshs-00322614
    Note: View the original document on HAL open archive server: https://halshs.archives-ouvertes.fr/halshs-00322614
    as

    Download full text from publisher

    File URL: https://halshs.archives-ouvertes.fr/halshs-00322614/document
    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)

    More about this item

    Keywords

    Oncology; Sarcoma; Cost; Clinical guidelines; Efficacy; Medical Practices; Government Policy; Regulation; Public Health;

    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:hal:journl:halshs-00322614. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (CCSD). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.