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Cost effectiveness of positron emission tomography in Canada.

AbstractBACKGROUND:
Positron emission tomography (PET) has been shown to be cost effective for the staging of stage I and II breast cancer, recurrent colorectal cancer and non small cell lung cancer. This study determines a required catchment size for the management of these three cancers based on a breakeven analysis.
MATERIAL/METHODS:
Cost effectiveness analysis is used to determine the cost savings of introducing PET into the diagnostic algorithm for the staging of stage I and II breast cancer, recurrent colorectal cancer and non small cell lung cancer. The cost savings for these cancers are used to calculate a required catchment area for the installation of a PET center with cyclotron.
RESULTS:
The aggregate estimated "breakeven" cost of a PET study would be dollars 2195, well below the expected cost per study. In order to break even, each PET device would require 740 new cases per year. For a general representative population, one person per 766 may benefit from a PET scan if a PET study was included in the diagnostic algorithm for all three cancers. Finally, a calculated catchment size of 567,000 people would support the use of a PET center with cyclotron
CONCLUSIONS:
The use of PET for the staging of cancer appears to be cost effective in most jurisdictions in Canada.
AuthorsJ Scott Sloka, Peter D Hollett
JournalMedical science monitor : international medical journal of experimental and clinical research (Med Sci Monit) Vol. 11 Issue 10 Pg. PH1-6 (Oct 2005) ISSN: 1234-1010 [Print] United States
PMID16192911 (Publication Type: Journal Article)
Topics
  • Breast Neoplasms (diagnostic imaging, pathology)
  • Canada
  • Carcinoma, Non-Small-Cell Lung (diagnostic imaging, pathology)
  • Colorectal Neoplasms (diagnostic imaging, pathology)
  • Cost-Benefit Analysis
  • Humans
  • Lung Neoplasms (diagnostic imaging, pathology)
  • Neoplasm Staging
  • Positron-Emission Tomography (economics)

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