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Head Neck. 2019 Jul;41(7):2376-2379. doi: 10.1002/hed.25706. Epub 2019 Feb 19.

Cost for treatment and follow-up of thyroid cancer increases according to the severity of disease.

Author information

1
Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Institute of Refractory Thyroid Cancer, Yonsei University College of Medicine, Seoul, Korea.
2
Department of Mathematics/Data Science, Ajou University, Suwon, Korea.
3
Department of Industrial Engineering, Ajou University, Suwon, Korea.

Abstract

BACKGROUND:

The aim of this study was to provide an analysis of thyroid cancer-related health care costs over a 5-year period, according to the extent of thyroid surgery.

METHODS:

The study included 33 patients from our institutional database who underwent thyroid cancer surgery in 2010. Patients were divided into four groups based on surgical extent: (1) hemithyroidectomy, (2) total thyroidectomy, (3) total thyroidectomy with ipsilateral radical neck dissection, and (4) total thyroidectomy with bilateral radical neck dissection and mediastinal dissection. Costs for admission and outpatient follow-up for 5 years were analyzed.

RESULTS:

Costs for outpatient follow-up and admission, and overall cost increased with increasing stage of disease and increasing extent of thyroid surgery. Patients who underwent only hemithyroidectomy had the lowest costs for outpatient follow-up and admission, as well as the lowest overall cost.

CONCLUSION:

Over the 5-year follow-up period, surgery performed at an early disease stage was the most cost-effective.

KEYWORDS:

cost effectiveness; differentiated thyroid cancer; extent of surgery; healthcare cost; thyroid cancer

PMID:
30784141
DOI:
10.1002/hed.25706

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