Laser cordotomy versus radiotherapy: An objective cost analysis

Laser cordotomy versus radiotherapy: An objective cost analysis
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DOI:
10.1177/000348940111000404
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发表时间:
2001-04-01
影响因子:
1.4
通讯作者:
Brandenburg, JH
Brandenburg, JH
中科院分区:
医学3区
文献类型:
--
作者:
Brandenburg, JH

文献摘要

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本研究提出了一个成本分析和比较激光声带切开术和体外照射治疗早期声门癌。它比较了两种方式的治疗结果,从数据的回顾性研究在我的机构和文献综述发表的治愈率。它还审查了客观的声音评估的结果,在案件代表两种治疗。这项研究的结果表明,治愈率是相等的,激光脊髓切断术后获得的语音质量是可比的照射后获得的,但外部光束放射治疗的总成本显着高于激光手术。因此,本研究的结果为早期声门型肿瘤的激光手术治疗提供了有力的支持。
This study presents a cost analysis of and comparison between laser cordotomy and external beam irradiation for the treatment of early glottic carcinoma. It compares the curative results of the two modalities from data of a retrospective study at my institution and a literature review of published cure rates. It also reviews the results of objective voice assessments in cases representing both treatments. The findings of this study indicate that the cure rates are equivalent and that voice quality obtained after laser cordotomy is comparable to that obtained after irradiation, yet the total cost of external beam radiotherapy is significantly higher than that of laser surgery. Hence, the findings of this study provide strong support for initially treating early glottic tumors with laser surgery.