Association between site-of-care and the cost and modality of radiotherapy for prostate cancer: Analysis of Medicare beneficiaries from 2015 to 2017 Journal Article
| Authors: | Tringale, K. R.; Gennarelli, R. L.; Gillespie, E. F.; Mitchell, A. P.; Zelefsky, M. J. |
| Article Title: | Association between site-of-care and the cost and modality of radiotherapy for prostate cancer: Analysis of Medicare beneficiaries from 2015 to 2017 |
| Abstract: | Among 84,447 radiotherapy (RT) courses for Medicare beneficiaries age ≥ 65 with prostate cancer treated with external beam RT (EBRT), brachytherapy, or both, 42,608 (51%) were delivered in hospital-affiliated and 41,695 (49%) in freestanding facilities. Freestanding centers were less likely to use EBRT + brachytherapy than EBRT (OR 0.84 [95%CI 0.84–0.84]; p <.001). Treatment was more costly in freestanding centers (mean difference $2,597 [95%CI $2,475–2,719]; p <.001). Adjusting for modality and fractionation, RT in hospital-affiliated centers was more costly (mean difference $773 [95%CI $693–853]; p <.001). Freestanding centers utilized more expensive RT delivery, but factors unrelated to RT modality or fractionation rendered RT more costly at hospital-affiliated centers. © 2021 Taylor & Francis Group, LLC. |
| Keywords: | prostate cancer; radiation oncology; episode-based payment; site-neutrality |
| Journal Title: | Cancer Investigation |
| Volume: | 39 |
| Issue: | 2 |
| ISSN: | 0735-7907 |
| Publisher: | Informa Healthcare |
| Date Published: | 2021-01-01 |
| Start Page: | 144 |
| End Page: | 152 |
| Language: | English |
| DOI: | 10.1080/07357907.2020.1865396 |
| PUBMED: | 33416007 |
| PROVIDER: | scopus |
| PMCID: | PMC8285070 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 March 2021 -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
-
754Zelefsky -
32Gennarelli -
149Gillespie -
60Mitchell -
101Tringale
Related MSK Work