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Titolo:
Value and cost evaluation of routine follow-up for patients with clinical stage I/II endometrial cancer
Autore:
Morice, P; Levy-Piedbois, C; Ajaj, S; Pautier, P; Haie-Meder, C; Lhomme, C; Duvillard, P; Castaigne, D;
Indirizzi:
Inst Gustave Roussy, Dept Gynecol Surg, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France Inst Gustave Roussy, Dept Econ & Hlth, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France Inst Gustave Roussy, Dept Oncol, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France Inst Gustave Roussy, Dept Radiotherapy, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France Inst Gustave Roussy, Dept Pathol, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France
Titolo Testata:
EUROPEAN JOURNAL OF CANCER
fascicolo: 8, volume: 37, anno: 2001,
pagine: 985 - 990
SICI:
0959-8049(200105)37:8<985:VACEOR>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE RADIATION; CARCINOMA; RECURRENCE; ADENOCARCINOMA; SURVEILLANCE; PATTERNS;
Keywords:
endometrial cancer; follow-up; recurrence; Pap smears;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Morice, P Inst Gustave Roussy, Dept Gynecol Surg, 39 Rue Camille Desmoulins, F-94805Villejuif, France Inst Gustave Roussy 39 Rue Camille Desmoulins Villejuif France F-94805
Citazione:
P. Morice et al., "Value and cost evaluation of routine follow-up for patients with clinical stage I/II endometrial cancer", EUR J CANC, 37(8), 2001, pp. 985-990

Abstract

The aim of the study was to determine the value and the costs of routine follow-up for the detection of recurrences in patients treated for endometrial cancer. Between 1986 and 1995. 390 women with clinical stage I/II endometrial carcinoma were treated with combined surgery-radiation therapy. Aftertreatment, follow-up was based on the clinical examination. a systematic Papanicolaou (Pap) smear and radiography (chest X-ray and abdomino-pelvic ultrasonography). 27 patients relapsed: 22 patients had symptoms and 5 were asymptomatic. None of the patients had recurrence detected on the routine Pap smear nor on the systematic chest Xray. In conclusion, the follow-up of patients treated for endometrial cancer based on routine Pap smears and systematic radiography does not permit earlier detection of recurrences. Follow-up should simply include a clinical examination whose frequency should be based on prognostic factors. Approximately two-thirds of this cost was due to systematic examinations (Pap smears and radiography). Our results indicate that such expenditure could be avoided. (C) 2001 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 16:15:17