The present study evaluates the cost-effectiveness of two follow-up routines : a strict follow-up with frequent visits, imaging, and laboratory examinations was compared to a follow-up with infrequent visits that were scheduled mainly on the basis of the patient's symptoms.
A retrospective evaluation was undertaken of 130 patients who underwent a complete resection of non-small cell lung cancer (NSCLC).
All patients had complete follow-up for at least 2 years after their operation.
The patients were separated into two groups : strict (n=67), with a routine follow-up policy ; and symptom (n=63), seen on a symptom-oriented basis.
The costs of the follow-up routines and the yield of each schedule were compared between the two groups.
There were no significant differences in the disease-free interval until the first detection of recurrence.
In most patients, metastatic diseases were diagnosed on the basis of symptoms, rather than by routine tests.
The patients who had recurrent cancer diagnosed after surgery had a dismal survival rate irrespective of the follow-up schedule.
The majority of patients with recurrence died of malignancy within a 2-year period.
The costs of strict vs symptom follow-up were significantly different, because of the greater number of routine imaging procedures performed in patients having strict follow-up. (...)
Mots-clés Pascal : Tumeur maligne, Bronchopulmonaire, Homme, Coût, Economie santé, Surveillance, Résection chirurgicale, Postopératoire, Diagnostic, Récurrence, Exploration, Traitement, Appareil respiratoire pathologie, Poumon pathologie, Bronche pathologie, Chirurgie
Mots-clés Pascal anglais : Malignant tumor, Bronchopulmonary, Human, Costs, Health economy, Surveillance, Surgical resection, Postoperative, Diagnosis, Recurrence, Exploration, Treatment, Respiratory disease, Lung disease, Bronchus disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0361741
Code Inist : 002B11A. Création : 14/12/1999.