Cost-effectiveness of computed tomography nodal scan in patients with papillary thyroid carcinoma.

ABSTRACT:

Objectives

This study evaluates the cost-effectiveness of ultrasound (US) only; computed tomography (CT) only; and combined US-CT in a base-case that underwent total thyroidectomy for a newly diagnosed papillary thyroid carcinoma (PTC) (scenario I) or surgery for recurrent disease (scenario II).

Materials and methods

Markov chain model was developed comparing the above modalities. Follow-up time was set as 10 years. Costs and probabilities values are obtained from literature and the National Cancer Database.

Results

Nodal mapping of the central compartment in both primary and recurrent PTC scenarios demonstrated combined utilization of preoperative US and CT is preferred over the use of US or CT separately; the final incurred management cost was [scenario I: U.S.$10,5

SUBMITTER: Al-Qurayshi Z 

PROVIDER: S-EPMC8217319 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature