Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama / Yield and costs of complementary examinations to study the disseminations of stage I and II breast carcinoma
Rev. méd. Chile
;
131(2): 155-158, 2003. tab
Article
in Spanish
| LILACS
| ID: lil-342236
ABSTRACT
Chest X ray, abdominal ultrasound and bone scintigraphy are usually requested to study a possible dissemination of breast carcinoma. Aim:
To study the yield and costs of these exams in the study of dissemination of stage I and II breast carcinoma. Material andmethods:
A retrospective analysis of patients operated for a breast carcinoma in a public surgical service. A chest X ray, abdominal ultrasound and bone scintigraphy was requested to all patients in the immediate postoperative period. Age, stage according to pathological TNM and costs per patient were registered.Results:
Of 210 women operated, 40 were in stage I (19 percent) and 85 in stage II (41 percent). Dissemination study was negative in all stage I patients and in all but two patients in stage II. The yield for detection of distant metastases in these patients was 0.9 percent for chest X ray, 0 percent for abdominal ultrasound and 0.9 percent for bone scintigraphy. The total cost of the study, in Chilean pesos, was $10,369,620 in a public hospital and $16,535,400 in a private clinic.Discussion:
Additional exams to detect distant metastases in early stages of breast carcinoma have a low yield and high costs
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Breast Neoplasms
/
Neoplasm Staging
Type of study:
Health economic evaluation
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2003
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL
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