PMID: 11317694Apr 25, 2001Paper

Costs and efficiency of a tumor follow-up program for the detection of colorectal liver metastases

International Journal of Colorectal Disease
M KettenissB Ulrich

Abstract

From January 1987 until July 1999 we admitted 1003 patients with colorectal cancer and 31 with resected colorectal liver metastases to our tumor follow-up program. After R0 resection of the primary tumor 60 patients developed liver metastases during the postoperative follow-up. R0 resection of the metastases was performed in 16 of these cases without lethality and low morbidity. In the further course of the follow-up 8 of these patients again developed liver metastases, two of whom underwent reoperation. The overall 5-year survival rate after R0 resection of liver metastases was 20%. In 726 patients we performed 3719 follow-up examinations. Following the German regulations on physicians' fees for follow-up-examinations we calculated the cost of detecting a liver metastasis to be DM 16,500 per patient. Mean costs were DM 62,000 in patients in whom the metastases were successfully resected. The results of this study show that although the costs are very high for patients who benefit from the follow-up program, 26.7% of those with liver metastases are detected in such an early stage, and that an R0 resection can be performed. This study shows that the high costs of tumor follow-up programs for detecting liver metastases in patient...Continue Reading

Citations

Jul 29, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chih-Cheng Hsieh, Ching-Wen Chien
Apr 30, 2002·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·W B van den HoutJ Kievit
Mar 18, 2005·Acta chirurgica Iugoslavica·P B Paty, W Douglas Wong
Jan 13, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C J VerberneK M Vermeulen
Jan 4, 2006·Surgical Oncology Clinics of North America·Thomas Anthony
Jul 7, 2011·Diseases of the Colon and Rectum·Bilgi BacaDavid A Etzioni
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Liam G GlynnTom Fahey
Feb 13, 2004·Drugs & Aging·Matthew J MatasarAlfred I Neugut
Feb 19, 2004·Acta Oncologica·Björn Ohlsson, Birger Pålsson

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