Evidence map›Paper›PMID 41097783›Full record

ArticleCancers2025

Direct and Indirect Costs of Prostate Cancer: A Comprehensive Assessment of Economic and Social Impact.

Izabela Gąska, Aleksandra Czerw, Monika Pajewska, Olga Partyka, Andrzej Deptała, Anna Badowska-Kozakiewicz, Natalia Czerw, Dominika Mękal, Katarzyna Sygit, Katarzyna Wojtyła-Blicharska and 13 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Izabela GąskaMedical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland.
Aleksandra CzerwDepartment of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland.ORCID 0000-0002-6189-6678
Monika PajewskaDepartment of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland.ORCID 0000-0002-7735-5219
Olga PartykaDepartment of Health Economics and Insurance, Center for the Humanities and Social Sciences of Medicine, Medical University of Warsaw, 00-581 Warsaw, Poland.ORCID 0000-0001-6359-2902
Andrzej DeptałaDepartment of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.ORCID 0000-0003-2640-2043
Anna Badowska-KozakiewiczDepartment of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.
Natalia CzerwStudents' Scientific Organization of Cancer Cell Biology, Department of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.
Dominika MękalDepartment of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.
Katarzyna SygitFaculty of Medicine and Health Sciences, University of Kalisz, 62-800 Kalisz, Poland.ORCID 0000-0001-7173-2266
Katarzyna Wojtyła-BlicharskaFaculty of Medicine and Health Sciences, University of Kalisz, 62-800 Kalisz, Poland.ORCID 0009-0008-3926-4528
Jarosław DrobnikDepartment of Family Medicine, Faculty of Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland.ORCID 0000-0001-5472-1485
Piotr PobrotynPulsantis Specialist and Rehabilitation Clinic Ltd., 53-238 Wroclaw, Poland.
Dorota Waśko-CzopnikDepartment of Gastroenterology, Hepatology with Inflammatory Bowel Disease Subunit, Provincial Specialist Hospital J. Gromkowskiego, 51-149 Wroclaw, Poland.ORCID 0000-0001-6648-6830
Adam WiatkowskiFaculty of Medicine, Wroclaw Medical University, 50-345 Wroclaw, Poland.ORCID 0009-0006-4641-0488
Michał MarczakCollegium of Management, WSB University in Warsaw, 03-204 Warsaw, Poland.ORCID 0000-0001-6262-0529
Tomasz CzaplaDepartment of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland.ORCID 0000-0002-8402-2236
Ewa BandurskaCenter for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland.
Weronika CiećkoCenter for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland.ORCID 0000-0002-1496-1924
Elżbieta GrochansDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.ORCID 0000-0002-3679-7002
Anna M CybulskaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.ORCID 0000-0002-6912-287X
Daria Schneider-MatykaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.
Kamila RachubińskaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.ORCID 0000-0003-2200-3766
Remigiusz KozlowskiDepartment of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland.ORCID 0000-0003-2781-5341

Funding

National Institute of Public Health NIH - National Research Institute NIZP PZH-SRI/2021/1094/1056, task number 10.3
6 · The paper itself

Abstract

backgroundProstate cancer is the second most common malignant cancer among men, and according to the predictions, the estimated number of new cases will substantially grow in the coming years. Therefore, the costs of the disease will increase as well.

methodsWe conducted a literature review of the state of knowledge about the costs of treatment and the economic burden of prostate cancer. The vast majority of studies were focused on direct costs only, which clearly shows the literature gap.

resultsWe focused on the estimates of direct costs, i.e., treatment of prostate cancer, adjuvant and neoadjuvant treatment, and supportive and palliative care, and indirect costs. Cost-effectiveness analyses indicated that docetaxel combined with androgen deprivation therapy (ADT) was the most cost-effective strategy for metastatic hormone-sensitive prostate cancer (incremental cost-effectiveness ratio (ICER): USD 13,647). In contrast, novel therapies such as PARP inhibitors and whole-genome-sequencing-guided treatments were not cost-effective unless drug prices were reduced by 47-70%. In the United States, 5-year cumulative treatment costs ranged from USD 48,000 for conservative management to over USD 91,000 for radiotherapy, while out-of-pocket expenses averaged AUD 1172 in Australia. Indirect costs were also considerable, with Slovakia reporting an increase in sick leave costs from EUR 1.2 million in 2014 to EUR 2.1 million in 2022.

conclusionsMetastatic hormone-sensitive prostate cancer and metastatic castration-resistant prostate cancer were the most frequent categories for various treatment cost evaluations. A few specific combinations of drugs were cost-effective only under the condition of dropping the unit prices of a medication. Further summarizing, reviewing, and developing a methodology for standardized comparisons are needed.

Indexed as

cost-effectivenesscostsmetastatic prostate cancerprostate cancer

Identifiers

PMID41097783
PMCPMC12523367

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.