Dataset Information

Identifying incident oral and pharyngeal cancer cases using Medicare claims.

ABSTRACT:

Background

Baseline and trend data for oral and pharyngeal cancer incidence is limited. A new algorithm was derived using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database to create an algorithm to identify incident cases of oral and pharyngeal cancer using Medicare claims.

Methods

Using a split-sample approach, Medicare claims' procedure and diagnosis codes were used to generate a new algorithm to identify oral and pharyngeal cancer cases and validate its operating characteristics.

Results

The algorithm had high sensitivity (95%) and specificity (97%), which varied little by age group, sex, and race and ethnicity.

Conclusion

Examples of the utility of this algorithm and its operating characteristics include using it to derive baseline and trend estimates of oral and pharyngeal cancer incidence. Such measures could be used to provide incidence estimates where they are lacking or to serve as comparator estimates for tumor registries.

SUBMITTER: Mahnken JD

PROVIDER: S-EPMC3538504 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature

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Publications

Identifying incident oral and pharyngeal cancer cases using Medicare claims.

Mahnken Jonathan D JD Keighley John D JD Girod Douglas A DA Chen Xueyi X Mayo Matthew S MS

BMC oral health 20130101

<h4>Background</h4>Baseline and trend data for oral and pharyngeal cancer incidence is limited. A new algorithm was derived using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database to create an algorithm to identify incident cases of oral and pharyngeal cancer using Medicare claims.<h4>Methods</h4>Using a split-sample approach, Medicare claims' procedure and diagnosis codes were used to generate a new algorithm to identify oral and pharyngeal cancer cases and validat ...[more]

PMID: 23280327

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Project description:Head and neck cancers are of particular interest to health care providers, their patients, and those paying for health care services, because they have a high morbidity, they are extremely expensive to treat, and of the survivors only 48% return to work. Consequently the economic burden of oral cavity, oral pharyngeal, and salivary gland cancer (OC/OP/SG) must be understood. The cost of these cancers in the U.S. has not been investigated.A retrospective analysis of administrative claims data for 6,812 OC/OP/SG cancer patients was undertaken. Total annual health care spending for OC/OP/SG cancer patients was compared to similar patients without OC/OP/SG cancer using propensity score matching for enrollees in commercial insurance, Medicare, and Medicaid. Indirect costs, as measured by short term disability days were compared for employed patients.Total annual health care spending for OC/OP/SG patients during the year after the index diagnosis was $79,151 for the Commercial population. Health care costs were higher for OC/OP/SG cancer patients with Commercial Insurance ($71,732, n?=?3,918), Medicare ($35,890, n?=?2,303) and Medicaid ($44,541, n?=?585) than the comparison group (all p?<?0.01). Commercially-insured employees with cancer (n?=?281) had 44.9 more short-term disability days than comparison employees (p?<?0.01). Multimodality treatment was twice the cost of single modality therapy. Those patients receiving all three treatments (surgery, radiation, and chemotherapy) had the highest costs of cost of care, from $96,520 in the Medicare population to $153,892 in the Commercial population.In the U.S., the cost of OC/OP/SG cancer is significant and may be the most costly cancer to treat in the U.S. The results of this analysis provide useful information to health care providers and decision makers in understanding the economic burden of head and neck cancer. Additionally, this cost information will greatly assist in determining the cost-effectiveness of new technologies and early detection systems. Earlier identification of cancers by patients and providers may potentially decrease health care costs, morbidity and mortality.

Dataset Information

Identifying incident oral and pharyngeal cancer cases using Medicare claims.

Background

Methods

Results

Conclusion

Publications

Identifying incident oral and pharyngeal cancer cases using Medicare claims.

Similar Datasets

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