Back to Search
Start Over
Cost comparison of two surgical strategies in the treatment of breast cancer: sentinel lymph node biopsy versus axillary lymph node dissection
- Source :
- International Journal of Technology Assessment in Health Care, International Journal of Technology Assessment in Health Care, 2004, 20 (4), pp. 449-454, International Journal of Technology Assessment in Health Care, Cambridge University Press (CUP), 2004, 20 (4), pp. 449-454
- Publication Year :
- 2004
-
Abstract
- Objectives: The feasibility and accuracy of sentinel lymph node biopsy (SLNB) in the treatment of breast cancer is widely acknowledged today. The aim of our study was to compare the hospital-related costs of this strategy with those of conventional axillary lymph node dissection (ALND).Methods: A retrospective study was carried out to determine the total direct medical costs for each of the two medical strategies. Two patient samples (n=43 for ALND; n=48 for SLNB) were selected at random among breast cancer patients at the Centre Léon Bérard, a comprehensive cancer treatment center in Lyon, France. Costs related to ALND carried out after SLNB (either immediately or at a later date) were included in SLNB costs (n=18 of 48 patients).Results: Total direct medical costs were significantly different in the two groups (median 1,965.86€ versus 1,429.93€, p=0.0076, Mann-Whitney U-test). The total cost for SLNB decreased even further for patients who underwent SLNB alone (median, 1,301€). Despite the high cost of anatomic pathology examinations and nuclear medicine (both favorable to ALND), the difference in direct medical costs for the two strategies was primarily due to the length of hospitalization, which differs significantly depending on the technique used (9-day median for ALND versus 3 days for SLNB, pConclusions: A lower morbidity rate is favorable to the generalization of SLNB, when the patient's clinical state allows for it. From an economic point of view, SLNB also seems to be preferred, particularly because our results confirm those found in two published studies concerning the cost of SLNB.
- Subjects :
- medicine.medical_specialty
economic evaluation
Sentinel lymph node
Breast Neoplasms
breast cancer
Breast cancer
Biopsy
Medicine
Humans
[SHS.ECO] Humanities and Social Sciences/Economics and Finance
axillary lymph node dissection
ComputingMilieux_MISCELLANEOUS
Retrospective Studies
medicine.diagnostic_test
Cost comparison
business.industry
Sentinel Lymph Node Biopsy
Health Policy
Mortality rate
Axillary Lymph Node Dissection
Retrospective cohort study
[SHS.ECO]Humanities and Social Sciences/Economics and Finance
medicine.disease
Surgery
Axilla
Costs and Cost Analysis
Lymph Node Excision
Female
business
Medical costs
Subjects
Details
- ISSN :
- 02664623 and 14716348
- Volume :
- 20
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- International journal of technology assessment in health care
- Accession number :
- edsair.doi.dedup.....8b0bd16ecce086a80edcf6d3611186c5