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  • Andersson, Swen-OlofÖrebro universitet,Hälsoakademin,Orebro University Hospital (författare)

Managing localized prostate cancer by radical prostatectomy or watchful waiting: Cost analysis of a randomized trial (SPCG-4)

  • Artikel/kapitelEngelska2011

Förlag, utgivningsår, omfång ...

  • 2011-01-25
  • Informa Healthcare,2011
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-67149
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-67149URI
  • https://doi.org/10.3109/00365599.2010.545075DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-27429URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:122202670URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective. The cost of radical prostatectomy (RP) compared to watchful waiting (WW) has never been estimated in a randomized trial. The goal of this study was to estimate long-term total costs per patient associated with RP and WW arising from inpatient and outpatient hospital care. Material and methods. This investigation used the Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4) trial, comparing RP to WW, and included data from 212 participants living in two counties in Sweden from 1989 to 1999 (105 randomized to WW and 107 to RP). All costs were included from randomization date until death or end of follow-up in July 2007. Resource use arising from inpatient and outpatient hospital costs was measured in physical units and multiplied by a unit cost to come up with a total cost per patient. Results. During a median follow-up of 12 years, the overall cost in the RP group was 34% higher (p andlt; 0.01) than in the WW group, corresponding to euroa,not sign6123 in Sweden. The difference was driven almost exclusively by the cost of the surgical procedure. The cost difference between RP and WW was two times higher among men with low (2--6) than among those with high (7--10) Gleason score. Conclusion. In this economic evaluation of RP versus WW of localized prostate cancer in a randomized study, RP was associated with 34% higher costs. This difference, attributed exclusively to the cost of the RP procedure, was not overcome during extended follow-up.

Ämnesord och genrebeteckningar

  • Cost-effectiveness
  • prostate cancer
  • randomized trial
  • radical prostatectomy
  • watchful waiting
  • MEDICINE
  • MEDICIN
  • Medicine

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Andrén, OveÖrebro universitet,Hälsoakademin,Orebro University Hospital(Swepub:oru)oan (författare)
  • Lyth, JohanLinköpings universitet,Hälsouniversitetet,Utvärdering och hälsoekonomi(Swepub:liu)johly06 (författare)
  • Stark, Jennifer RBrigham and Womens Hospital (författare)
  • Henriksson, MartinLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet(Swepub:liu)marhe38 (författare)
  • Adami, Hans-OlovKarolinska Institutet,Harvard University (författare)
  • Carlsson, PerLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet(Swepub:liu)perca23 (författare)
  • Johansson, Jan-ErikÖrebro universitet,Hälsoakademin,Orebro University Hospital(Swepub:oru)jkjn (författare)
  • Örebro universitetHälsoakademin (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY: Informa Healthcare45:3, s. 177-1830036-55991651-2065

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