Cordectomy by CO2 laser or radiotherapy for small T1a glottic carcinomas:: Costs, local control, survival, quality of life, and voice quality
Cordectomy by CO2 laser or radiotherapy for small T1a glottic carcinomas:: Costs, local control, survival, quality of life, and voice quality
复制标题
DOI：
10.1002/hed.20500
复制
发表时间：
2007-02-01
影响因子：
2.9
通讯作者：
van Agthoven, Michel
中科院分区：
文献类型：
--
作者：
Goor, Kim M.;Peeters, A. Jeanne G. E.;van Agthoven, Michel
背景放疗和内镜下声带切除术治疗T1a声门癌的临床结果相似，但两种治疗的费用可能不同。因此，我们回顾性地评估了两种治疗的成本、语音质量、生活质量和临床结果。根据1995年至1999年间分别接受放疗和内镜下声带切除术的35例和54例T1 a声门癌患者的图表数据，计算了从首次就诊到随访2年的成本和效果。通过对患者进行问卷调查，对患者的语音质量和生活质量进行评价。放疗和co2激光切除的总费用（欧元）分别为8322欧元和4434欧元，包括治疗可能复发的费用。两种治疗的效果是相同的，包括语音质量和生活质量。我们的结论是，内窥镜切除是一种有效的替代放射治疗这些患者。(c) 2006 Wiley期刊公司
Background, The clinical results of radiotherapy and endoscopic cordectomy for T1a glottic carcinoma are reported to be similar, but costs of both treatments may differ. Therefore, we retrospectively evaluated the costs, voice quality, quality of life, and clinical results of both treatments.Methods. Costs and effects from the first visit up to 2 years of follow-up were calculated, based on chart data of 35 and 54 patients who were treated with curative intent for T1 a glottic carcinoma from 1995 to 1999 with radiotherapy and endoscopic cordectomy, respectively. Voice quality and quality of life were evaluated by means of patient questionnaires.Results. Total costs (in Euros) of radiotherapy and CO2-laser cordectomy were EURO8322 and EURO4434, respectively, including the costs of treating possible recurrences. The effects of both treatments were equal, including voice quality and quality of life.Conclusions. We conclude that endoscopic cordectomy is an efficient alternative for radiotherapy for these patients. (c) 2006 Wiley Periodicals, Inc.