{"id":1404,"date":"2023-02-28T16:48:55","date_gmt":"2023-02-28T16:48:55","guid":{"rendered":"https:\/\/healthnews.zone\/?p=1404"},"modified":"2023-02-28T16:48:56","modified_gmt":"2023-02-28T16:48:56","slug":"the-high-cost-of-cancer-care-in-the-u-s-doesnt-improve-survival-rates","status":"publish","type":"post","link":"https:\/\/healthnews.zone\/?p=1404","title":{"rendered":"The High Cost of Cancer Care in the U.S. Doesn\u2019t Improve Survival Rates"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">lthough the United States spends twice as much on cancer care as the average high-income country, the rate of cancer deaths are only slightly better than average, according to a study published in <a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2792761\" rel=\"noreferrer noopener\" target=\"_blank\">study published in <em>JAMA Health Forum<\/em><\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s been well established that U.S. healthcare is expensive, and that patients living in the United States tend to have earlier access to new cancer therapies. But whether that spending has translated into fewer cancer deaths has been unclear, says senior author <a href=\"https:\/\/www.yalemedicine.org\/specialists\/cary_gross\" rel=\"noreferrer noopener\" target=\"_blank\">Cary Gross, MD<\/a>, professor of medicine and founder and director of Cancer Outcomes, Public Policy and Effectiveness Research Center at Yale School of Medicine in New Haven, Connecticut.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe most recent studies comparing cancers costs with outcomes at the national level are over a decade old,\u201d says Dr. Gross.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That\u2019s important, in part, because there have been many significant advancements in cancer treatment in the last 10 years, including a new type of immunotherapy that can make changes to a patient\u2019s T cells (a type of immune cell) to better fight cancer, according to <a href=\"https:\/\/www.cancer.org\/latest-news\/cancer-research-insights-from-the-latest-decade-2010-to-2020.html\" rel=\"noreferrer noopener\" target=\"_blank\">American Cancer Society (ACS)<\/a>. Those breakthrough treatments can come at significant cost \u2014 in some cases, upward of one million dollars per patient, <a href=\"https:\/\/lowninstitute.org\/high-priced-cancer-drugs-driving-pharma-revenue\/\" rel=\"noreferrer noopener\" target=\"_blank\">according to the Lown Institute<\/a>, a nonpartisan think tank dedicated to improving America\u2019s healthcare system.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cancer Is Second Leading Cause of Death in the U.S.<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Although the risk of dying from cancer has been dropping since its peak in 1991, it\u2019s still the second most common cause of death in the United States, after heart disease, <a href=\"https:\/\/www.cancer.org\/latest-news\/facts-and-figures-2022\" rel=\"noreferrer noopener\" target=\"_blank\">according to the ACS<\/a>. In 2022, it\u2019s estimated that 1.9 million people will be diagnosed with cancer, and 609,360 will die from it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.everydayhealth.com\/lung-cancer\/guide\/\">Lung cancer<\/a> is the leading <a href=\"https:\/\/www.everydayhealth.com\/cancer\/guide\/\">cause of cancer<\/a> death in the United States, followed by colon and rectum cancer, <a href=\"https:\/\/www.everydayhealth.com\/pancreatic-cancer\/guide\/\">pancreatic cancer<\/a>, breast cancer, <a href=\"https:\/\/www.everydayhealth.com\/prostate\/guide\/\">prostate<\/a> and liver and intrahepatic bile duct cancer, according to the <a rel=\"noreferrer noopener\" href=\"https:\/\/www.cdc.gov\/cancer\/dcpc\/research\/update-on-cancer-deaths\/index.htm\" target=\"_blank\">Centers for Disease Control and Prevention (CDC)<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>U.S. Had the Highest Cancer Care Spending Rate Compared With Other Countries<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">To find out whether or not the considerable U.S. investment on cancer care leads to better outcomes, researchers performed a nation-level analysis of 22 high-income countries and compared how much each country spent on cancer care relative to the age-standardized cancer death rates in 2020, with and without adjusting for smoking.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key findings included:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The United States spent over 200 billion dollars on cancer care \u2014 the highest spending rate of any of the 22 countries.<\/li>\n\n\n\n<li>The United States had the seventh best mortality rate out of the 22 countries \u2014 Australia, Finland, Iceland, Japan, Korea, and Switzerland spent less on cancer care but had better cancer outcomes than the United States.<\/li>\n\n\n\n<li>Researchers found no correlation between how much a country spent on cancer care and what the cancer death rate was; in other words, countries that spend more on cancer care do not necessarily have better cancer outcomes.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>After Accounting for Fewer Smokers, U.S. Cancer Mortality Rates Are No Better Than Average<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Smoking is the strongest risk factor for dying from cancer, and smoking rates in the United States have historically been lower compared with other countries. In 2018, about 20 out of 100 adults in the European Union (EU) <a href=\"https:\/\/www.oecd-ilibrary.org\/sites\/1c429c01-en\/index.html?itemId=\/content\/component\/1c429c01-en\" rel=\"noreferrer noopener\" target=\"_blank\">reported they were daily cigarette smokers<\/a> compared with 12.5 out of 100 U.S. adults, <a href=\"https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/adult_data\/cig_smoking\/index.htm\" rel=\"noreferrer noopener\" target=\"_blank\">according to the CDC<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After controlling for international differences in smoking rates, the U.S. cancer mortality rate was no better than the average high-income country: Nine countries had lower smoking-adjusted cancer mortality than the United States.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe findings show that although the United States is spending the most \u2014 twice the average spending on cancer compared with other high-income countries \u2014 we only achieved middle-of-the road results, in terms of cancer mortality. We are paying a lot for our <a href=\"https:\/\/www.everydayhealth.com\/cancer\/guide\/treatment\/\">cancer treatments<\/a> but not achieving the outcomes that our patients deserve,\u201d says Gross.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Findings Suggest the U.S. Healthcare System Needs to Reevaluate Priorities in Cancer Care<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cSimply put, this is all about value \u2014 and values. Like they say, price is what you pay, but value is what you get. And in this case, the United States is not getting high value for its cancer care. And this relates to values \u2014 how should we prioritize our cancer spending?\u201d says Gross.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to Gross, the United States could better prioritize the money spent on cancer care by investing more in <a href=\"https:\/\/www.everydayhealth.com\/cancer\/guide\/cancer-risk-factors-prevention\/\">cancer prevention<\/a> programs, controlling cancer drug prices, and doubling-down on cancer research.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What exactly does \u201cdoubling-down on cancer research&#8221; mean? For starters, it would include reforming the clinical trial and drug regulation process to one that places patients&#8217; interests first, says lead author <a href=\"https:\/\/medicine.yale.edu\/profile\/ryan_chow\/\" rel=\"noreferrer noopener\" target=\"_blank\">Ryan Chow<\/a>, an MD and PhD student at the Yale School of Medicine.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt&#8217;s not just about doing more research and getting more drugs approved; we need to make sure those research efforts are going towards clinical trials that are evaluating whether patients will indeed live longer and better on these new drugs. Otherwise, we are just spending more and more money on new cancer drugs that won&#8217;t meaningfully help our patients,\u201d he says.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe clinical trials process for cancer drugs is one of many aspects that needs to change. It\u2019s likely that a multipronged approach to cancer care reform is needed to address the issues highlighted by this study,\u201d adds Chow.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Original article: <a href=\"https:\/\/www.everydayhealth.com\/cancer\/the-high-cost-of-cancer-care-in-the-us-doesnt-improve-survival-rates\/\">https:\/\/www.everydayhealth.com\/cancer\/the-high-cost-of-cancer-care-in-the-us-doesnt-improve-survival-rates\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>lthough the United States spends twice as much on cancer care as the average high-income country, the rate of cancer deaths are only slightly better than average, according to a study published in study published in JAMA Health Forum. It\u2019s been well established that U.S. healthcare is expensive, and that patients living in the United States tend to have earlier access to new cancer therapies. But whether that spending has translated into fewer cancer deaths has been unclear, says senior [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1404","post","type-post","status-publish","format-standard","hentry","category-cancer-research"],"_links":{"self":[{"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/posts\/1404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/healthnews.zone\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1404"}],"version-history":[{"count":1,"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/posts\/1404\/revisions"}],"predecessor-version":[{"id":1405,"href":"https:\/\/healthnews.zone\/index.php?rest_route=\/wp\/v2\/posts\/1404\/revisions\/1405"}],"wp:attachment":[{"href":"https:\/\/healthnews.zone\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthnews.zone\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthnews.zone\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}