The Cost-effectiveness of Watch and Wait for Rectal Cancer

被引:9
作者
Bibi, S. [1 ]
Edilbe, M. W. [1 ,2 ]
Rao, C. [2 ,3 ,4 ]
机构
[1] North Cumbria Integrated Care NHS Fdn Trust, Dept Colorectal Surg, Carlisle, England
[2] North Cumbria Integrated Care NHS Fdn Trust, Acad Surg Unit, Carlisle, England
[3] Imperial Coll, Dept Surg & Canc, London, England
[4] North Cumbria Integrated Care NHS Fdn Trust, Cumberland Infirm, Newtown Rd, Carlisle CA2 7HY, England
关键词
Cost-effectiveness; health economics; organ preservation; rectal cancer; watch and wait; QUALITY-OF-LIFE; TRANSANAL ENDOSCOPIC MICROSURGERY; CLINICAL COMPLETE RESPONDERS; AVOIDING RADICAL SURGERY; COLORECTAL-CANCER; NEOADJUVANT CHEMORADIATION; INTERNATIONAL WATCH; ORGAN PRESERVATION; ELDERLY-PATIENTS; RESECTION;
D O I
10.1016/j.clon.2022.10.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The existing literature suggests with a high degree of certainty that watch and wait is more cost-effective than initial total mesorectal excision. However, it is heavily reliant on poor-quality health-related quality of life data. Furthermore, the cost-effectiveness of organ preservation from a broader societal perspective has not been studied. Finally, the cost-effectiveness of emerging adjuncts to watch and wait for organ preservation, such as contact X-ray brachytherapy, local excision and total neoadjuvant therapy, need to be characterised.(c) 2022 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:132 / 137
页数:6
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