Lumpectomy or mastectomy? Is breast conserving surgery too expensive?

Breast Cancer Research and Treatment

Volumn 45, Issue 1, 1997, Pages 07-14

  Norum, Jan ^a   Olsen, Jan Abel ^b   Wist, Erik A ^a  

^a UNIVERSITY HOSPITAL OF NORTH NORWAY   (Norway)

^b UNIVERSITY OF TROMSØ   (Norway)

Author keywords

Breast cancer; Cost utility; Lumpectomy; Mastectomy; QALY

Indexed keywords

ARTICLE; BREAST CANCER; CANCER SURGERY; CANCER SURVIVAL; COST BENEFIT ANALYSIS; FEMALE; HEALTH CARE COST; HUMAN; MASTECTOMY; NORWAY; PARTIAL MASTECTOMY; PRIORITY JOURNAL; QUALITY OF LIFE;

EID: 0030799583     PISSN: 01676806     EISSN: None     Source Type: Journal    
DOI: 10.1023/a:1005804101106     Document Type: Article

References (33)

1. Munoz E, Shamash F, Friedman M, Teicher I, Wise L: Lumpectomy vs mastectomy. The cost of breast preservation for cancer. Arch Surg 121: 1297-1301, 1986
2. Nattinger AB, Gottlieb MS, Veum J, Yahnke D, Goodwin JS: Geographic variation in the use of breast-conserving treatment for breast cancer. N Engl J Med 326: 1102-1107, 1992
3. De Koning HJ, van Dongen JA, van der Maas PJ: Changes in use of breast-conserving therapy in years 1978-2000. Br J Cancer 70: 1165-1170, 1994
4. Norum J: Breast conserving surgery (BCS) in northern Norway. Multicenter cooperative studies and treatment protocols ensure a high treatment standard. Int J Oncol 8: 633-637, 1996
5. Tarbox BB, Rockwood JK, Abernathy CM: Are modified radical mastectomies done for T1 breast cancers because of surgeons advice or patients choice? Am J Surg 164: 417-422, 1992
6. Veronesi U, Saccozzi R, Del Vecchio M: Comparing radical mastectomy with quadrantectomy, axillary dissection and radiotherapy in patients with small cancers of the breast. N Engl J Med 305: 6-10, 1981
7. Iglehart JD: Medicare begins prospective payment for hospitals. N Engl J Med 308: 1428-1432, 1983
8. The National Health Administration. The DRG system. Price list and codes for 1996. The National Health Administration. Oslo, 1996
9. Voogd AC, Repelaer van Driel OJ, Roumen RMH, Coebergh JWW: Changing attitudes among surgeons towards breast-conserving treatment of early breast cancer. EJC 1996, 32A, Suppl 2, 18
10. Muir C, Waterhouse J, McK T, Powell J, Whelan S: Cancer Incidence in Five Continents, Volume 5, International Agency for Research on Cancer, 1987
11. Haȧkonsen K: The DRG-system employed at The Norwegian Radium Hospital. The Norwegian Radium Hospital. Oslo, 1996
12. Janjan NA, Murray KJ, Conway P, Walker A, Wilson F: Prognosis for breast cancer surgery and radiation therapy compared with mastectomy alone. A retrospective analysis of 759 patients with stage I/II breast cancer. Cancer 69: 2842-2848, 1992
13. The Norwegian Breast Cancer Group, Breast cancer, diagnosis and treatment. The Norwegian Cancer Union, Oslo, 1994
14. Zalcberg JR, Siderov J, Simes J: The role of 5-fluorouracil dose in the adjuvant therapy of colorectal cancer. Ann Oncol 7: 41-46, 1996
15. Fowble B, Solin LJ, Schultz DJ et al.: Frequency, sites of re- lapse and outcome of regional node failure following conservative surgery and radiation for early breast cancer. Int J Radiat Oncol Biol Phys 17: 703-710, 1989
16. Perez CA, Garcia DM, Kuske RR, Levitt SH: Breast, stage T1 and T2 tumours. In: Ferez CA. Brady LAV (eds) Principles and Practice of Radiation Oncology. Philadelphia, Lippincott, 877-947, 1992
17. Schwegler N, Kern T, Lazovic N, Notier M: Breast-preserving treatment of breast carcinoma. Analysis of surgical, pathologic-anatomic and radiotherapeutic data of 291 cases. Schweiz Rundsch Med Prax 85: 21-29, 1996
18. Giraud P, Vilcoq JR, Compana F, Clough L, Fourquel A: Long term time course of breast recurrence after breast-conservative treatment of small breast cancer. EJC 1996, 32A, Suppl 2, 21
19. Koopanchap MA, Vanlnevald BM: Towards a new approach for estimating indirect costs of disease. Soc Sci Med 34: 1005-1010, 1992
20. Norum J, Angelsen V, Wist E, Olsen JA: Treatment costs in Hodgkin's disease. A cost-utility analysis. Eur J Cancer 32: (in press), 1996
21. Olsen JA: Production gains. Should they count in health care evaluations? Scotts J Political Econ 41: 69-84, 1994
22. Holmberg L, Omne-Pontèn M, Burns T, Adami HO, Bergstrøm R: Psychosocial adjustment after mastectomy and breast-conserving treatment. Cancer 64: 969-974, 1989
23. Lazovich D, White E, Thomas DB, Moe RE: Underutilization of breast-conserving surgery and radiation therapy among women with stage I and II breast cancer. JAMA 266: 3433-3438, 1991
24. Omne-Pontèn M, Holmberg L, Bergström R, Sjöden PO, Burns T: Psychosocial adjustment among husbands of women treated for breast cancer, mastectomy vs. breast-conserving surgery. Eur J Cancer 29: 1393-1397, 1993
25. Van Dongen JA, Bartelink H, Fentiman IS et al.: Randomized clinical trial to assess the value of breast-conserving therapy in stage I and II breast cancer. EORTC 10801 trial. J Natl Cancer Inst Monogr 11: 15-18, 1992
26. Rauschecker HF, Sauer R, Schauer A, Schumacher M, Olschewski M, Sauerbrei W, Seegenschmiedt MH, Schmoor C: for the German Breast Cancer Study group. Therapy of small breast cancer - Four year results of a prospective nonrandomized study. Breast Cancer Res Treat 34: 1-13, 1995
27. Fallowfield LJ, Hall A, Maguire GP, Baum M: Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial. BMJ 301: 575-580, 1990
28. Bonnema J, van Geel AN, von Wersch A, Pruyn JFA, Wiggers T: A prospective randomized trial of short versus long hospital stay after surgery for breast cancer. EJC 1996, 32A, Suppl 2, 16
29. Williams A: EuroQol - a new facility for the measurement of health related quality of life. The EuroQol Group, Health Policy 16: 199-208, 1990
30. Epstein RJ: Does the breast dollar make sense? Eur J Cancer 28: 486-491, 1992
31. Blokhin SN, Portnoj SM, Lactinov KP, Barcanov AI, Coptiaeva IV, Blokhin NN: Immediate breast reconstruction (IBR) in breast cancer patients. EJC 1996, 32A, Suppl 2, 17
32. Demidov VP, Pak DD, Yermakov AV: Variants of immedi- ate breast reconstruction in breast cancer treatment. EJC 1996, 32A, Suppl 2, 19
33. Galassi G, Amanti C, Regolo K, Lombardi A, Mauro G, Lucidsi M, DiPaolo M: Breast reconstruction following mastectomy. Our experience. EJC 1996, 32A, Suppl 2, 18