Cost comparison of curative therapies for localized prostate cancer in Japan: a single-institution experience.

Japanese Journal of Radiology
Takefumi SatohShiro Baba

Abstract

In addition to open surgery, curative therapies for prostate cancer now include endoscopic surgery and radiation therapies. Because of the expansion and subdivision of treatment methods for prostate cancer, the medical fee point schedule in Japan was revised in fiscal year 2006. We examined changes in medical income and expenditure after this revision of the medical fee system. We studied income and expenditure, after institution of the new medical fee schedule, for the five types of therapies for prostate cancer performed at our hospital: two surgical therapies (radical retropubic prostatectomy and laparoscopic prostatectomy) and three radiation therapies (three-dimensional conformal radiation therapy, (192)Ir high-dose-rate brachytherapy, and (125)I low-dose-rate brachytherapy). Low-dose-rate brachytherapy was found to be associated with a profit of yen199 per patient. Laparoscopic prostatectomy, a highly advanced medical treatment that the fee revision changed from a partially insured to an insured procedure, yielded a profit of yen75,672 per patient. However, high-dose-rate brachytherapy was associated with a loss of yen654,016 per patient. Given the loss in hospital income per patient undergoing high-dose-rate brachytherap...Continue Reading

References

Apr 1, 1997·Japanese Journal of Clinical Oncology·S EgawaK Koshiba
May 8, 2000·The Journal of Urology·B Guillonneau, G Vallancien
Mar 27, 2003·International Journal of Urology : Official Journal of the Japanese Urological Association·Shin EgawaShiro Baba
Jun 26, 2008·Japanese Journal of Clinical Oncology·Hiromichi IshiyamaKazushige Hayakawa

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Citations

Jul 26, 2011·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Wilfried BudachHorst Sack

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