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2019 | OriginalPaper | Buchkapitel

Economic Evaluation of Robotic Radiosurgery System for Prostate Cancer Treatments in the Czech Republic

verfasst von : Denisa Horáková, Gleb Donin

Erschienen in: World Congress on Medical Physics and Biomedical Engineering 2018

Verlag: Springer Singapore

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Abstract

The purpose of this study was to carry out the economic evaluation of robotic stereotactic body radiation therapy (rSBRT) in comparison with conventional intensity-modulated radiation therapy (IMRT) for the treatment of localized prostate cancer in the Czech Republic. Cost-utility analysis was used for the economic evaluation of both technologies based on their costs and the number of quality-adjusted life years gained (QALYs). Utilities of both technologies were identified in literature. An estimation of treatment costs was obtained from publicly available secondary sources for the Czech Republic. The cost-utility analysis was conducted from provider’s perspective for three scenarios (optimistic, realistic, and pessimistic). According to the results of cost-utility analysis, in every scenario concerned IMRT was both more effective and less costly than rSBRT. Namely, in realistic scenario, IMRT and rSBRT accrued 9.96 QALY/53,198 CZK and 9.93 QALY/79,956 CZK, respectively. rSBRT reached the same or lower values of the cost-utility ratio than IMRT in situation, when the acquisition price of rSBRT equipment was lower than CZK 58 million in the realistic scenario. Under the conditions of the Czech healthcare system, IMRT was more cost-effective than rSBRT for localized prostate cancer treatment in all the analyzed scenarios.

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Metadaten
Titel
Economic Evaluation of Robotic Radiosurgery System for Prostate Cancer Treatments in the Czech Republic
verfasst von
Denisa Horáková
Gleb Donin
Copyright-Jahr
2019
Verlag
Springer Singapore
DOI
https://doi.org/10.1007/978-981-10-9038-7_20

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