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Comparison between early and late stage lung cancer in relation to cost and mortality
Descriptive
TitleInfo
Title
Comparison between early and late stage lung cancer in relation to cost and mortality
Name
(type = personal)
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Harding
NamePart
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Kathleen A.
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Kathleen A. Harding
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author
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(type = personal)
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Haque
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Syed
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Syed Haque
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Advisory Committee
Role
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(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Coffman
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(type = given)
Frederick
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Frederick Coffman
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Advisory Committee
Role
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internal member
Name
(type = personal)
NamePart
(type = family)
Srinivasan
NamePart
(type = given)
Shankar
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Shankar Srinivasan
Affiliation
Advisory Committee
Role
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(authority = RULIB)
internal member
Name
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NamePart
Rutgers University
Role
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degree grantor
Name
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NamePart
School of Health Professions
Role
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school
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Text
Genre
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theses
OriginInfo
DateCreated
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2016
DateOther
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2016-10
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2016
Place
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xx
Language
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eng
Abstract
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Lung cancer (LC) is a life threatening disease associated with significant cost and high mortality. LC is diagnosed in either early stage or more frequently in late stage, the face of lung cancer. Objective: To make a comparison between early and late stage lung cancer (SLC) in relation to cost and mortality Methods: The study is a random effects data analysis of a historical dataset the Nationwide Inpatient Sample (NIS). The study is based on the time period 2002, 2006 and 2011. The primary outcomes of interest is cost (total cost per day) and mortality (died/did not die). Two replicates samples for the years 2002, 2006 and 2011 were taken. Demographic factors that influence cost and mortality were co-varied out of the analysis. Descriptive Statistical analysis and bivariate analysis were done for cost includes ANOVA and ANCOVA. A statistical analysis for mortality includes logistic regression. Cost and mortality for early versus late (SLC) were measured in isolation and after accounting for age, gender, race, socio-economic status, number of diagnoses, length of stay, and number of procedures.Results: In the three years, 3 samples of 2173, 13,032, and 15,771 including 3 replicate samples of 2060, 13,032 and 15,772 participated in the study. All significant relationships tested at an alpha level of (P<0.05). The cost for early (SLC) was higher compared to late (SLC) and is statistically significant. The number of procedures in part accounted for the difference. Late (SLC) had higher mortality compared to early (SLC) and is statistically significant. The number of diagnoses in part accounted for the difference. The study showed early (SLC) costs 14% more than late (SLC). Late stage is more deadly, however, the gap is surprisingly small at 30% or an odds ratio of 1.3 to 1.5 after adjusting for covariates. Conclusion: This study of HCUP data revealed that early (SLC) is more expensive than late (SLC). Additionally, the data revealed that mortality is higher in late (SLC) compared to early (SLC). Overall, these finding highlight the important role of Health Informatics in understanding the cost and mortality of early and late (SLC).
Subject
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Topic
Biomedical Informatics
Subject
(authority = ETD-LCSH)
Topic
Lungs--Cancer--Mortality
Subject
(authority = ETD-LCSH)
Topic
Lungs--Cancer--Treatment
RelatedItem
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Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
Identifier
ETD_7456
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xiii, 209 p. : ill.)
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = statement of responsibility)
by Kathleen A. Harding
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TitleInfo
Title
School of Health Related Professions ETD Collection
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rucore10007400001
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3C53P30
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Harding
GivenName
Kathleen A.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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(point = start)
2016-07-28 15:32:29
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Name
Kathleen Harding
Role
Copyright holder
Affiliation
Rutgers University. School of Health Professions
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2016-08-06T02:53:57
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2016-08-06T02:57:55
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