Academic Journal
Cost analysis of a watch‐and‐wait approach in patients with a complete clinical response to chemoradiotherapy for rectal cancer
| العنوان: | Cost analysis of a watch‐and‐wait approach in patients with a complete clinical response to chemoradiotherapy for rectal cancer |
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| المؤلفون: | Cooper, Edward A., Hodder, Rupert J., Finlayson, Andrew, Filgate, Rhys, Coveney, Andrew, Balasuriya, Hasitha Dinesh, Warner, Michael W. |
| المصدر: | ANZ Journal of Surgery ; volume 92, issue 11, page 2956-2960 ; ISSN 1445-1433 1445-2197 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2022 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Background There is increasing interest in the watch‐and‐wait approach for patients with rectal cancer who have had a complete clinical response following neoadjuvant long course chemoradiotherapy. This study is a cost analysis of expenditure on patients in the watch‐and‐wait program versus patients who underwent standard rectal resection followed by routine surveillance. Methods Data were prospectively collated and retrospectively analysed in all patients who presented with rectal cancer from January 2016 to January 2018 at Sir Charles Gairdner Hospital, Perth, Western Australia. Software developed by the North Metropolitan Health Service was used to capture comprehensive data to calculate the in‐hospital expenditure for an individual patient throughout their treatment journey. Results For a patient enrolled in the watch‐and‐wait pathway, the total cost of surveillance over a 5‐year period was $45 246. This was compared with the cost of an ultra‐low anterior resection/loop ileostomy/closure of loop and routine postoperative surveillance which came to a total of $87 473. While a patient who had an abdominoperineal resection followed by routine 5‐year surveillance had an expenditure of $82 290. Conclusion There is growing evidence that the watch‐and‐wait strategy is a valid management option. In the cost‐conscious environment of the current health care system, the watch‐and‐wait pathway is a cost‐effective and economically advantage treatment. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1111/ans.17914 |
| الاتاحة: | http://dx.doi.org/10.1111/ans.17914 https://onlinelibrary.wiley.com/doi/pdf/10.1111/ans.17914 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/ans.17914 |
| Rights: | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| رقم الانضمام: | edsbas.EF27ABC6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/ans.17914 |
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