Publication details
Nákladová efektivita v chirurgické onkologii.
| Title in English | Cost-effectiveness in surgical oncology |
|---|---|
| Authors | |
| Year of publication | 2011 |
| Type | Article in Periodical |
| Magazine / Source | Postgraduální medicína |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.zdn.cz/archiv/postgradualni-medicina/ |
| Field | Surgery incl. transplantology |
| Keywords | cost-effectiveness analysis; cost-utility analysis; methodology; oncology; surgery |
| Description | An effective system of public health insurance is based upon a good knowledge of the price given for a good chance for a cure. The good chance and the willingness to pay are to be defined, however. A cost effectiveness analysis is the first step to start with. Methodology: The price for a gained life year was calculated from these data: survival curves of different stages of six worldwide most frequent tumours treated surgically subtracted from non-surgical treatment, demographic oncologic data and economic data from the Faculty Hospital Brno. Factors influencing the cost effectiveness were picked out. Results: The price per one life year ranges according to the type and the stadium of a tumour from 1400 Kč (breast, Tis) to 75000 Kč (stomach, IIIC, man). The relevant factors were stadium of the tumour, age, gender, the position of surgery within the multimodal treatment, adherence to principles of surgical oncology, frequency of complications and a choice of the most suitable surgical technique. Conclusion: The stress should be laid on the medical education and screening programmes to increase the cost effectiveness. |