Grant: $291,000 - National Institutes of Health - Sep. 24, 2009
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Award Description: We request an administrative supplement to our grant P30 AG017253 to augment our research on the trends in demography, economics, health and healthcare of the aging. This administrative supplement will enable expanding the approaches used in our existing NIA grant to include comparative effectiveness research (CER). The proposed administrative supplement has the following specific aims: 1. To estimate incremental Medicare expenditures attributable to the use of competing treatment strategies for black and nonblack men with localized prostate cancer. 2. To identify potential savings in future Medicare expenditures that would result from the adoption of strategies supported by comparative effectiveness criteria, including cost-effectiveness criteria, for black and nonblack men with localized prostate cancer. The proposed research will build upon and refine our existing approach to the potential impact of comparative effectiveness research on expenditures for localized prostate cancer. Because racial disparities in treatment are common, and because prostate cancer is so prevalent among elderly black men, it is particularly important to understand how the results of comparative effectiveness research might differentially affect black and non-black men with prostate cancer. The proposed analysis builds upon comprehensive Medicare claims files, focusing on Medicare beneficiaries 65 years of age and older and specifically investigating treatment and cost differences for black versus nonblack men. We intend to estimate the savings that are potentially achievable based on shifts of care toward the management strategies suggested by CER for both black and nonblack men. The work we propose in this supplement has the potential to inform treatment decisions for back and non-black patients with localized prostate cancer leading to lower health care costs, less overtreatment (with fewer associated harms) and without substantial decrements to health outcomes. Our analysis focuses on the Medicare population, and thus the implementation of our findings can help address the looming budget deficits (forecast by 2017) without compromising health outcomes.
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This award's data was last updated on Sep. 24, 2009. Help expand these official descriptions using the wiki below.