Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?
Identifieur interne : 000615 ( PubMed/Corpus ); précédent : 000614; suivant : 000616Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?
Auteurs : Michael Co ; Ava KwongSource :
- Clinical breast cancer [ 1938-0666 ] ; 2017.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (diagnostic imaging), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Cost-Benefit Analysis, Female, Humans, Lymphatic Metastasis, Middle Aged, Neoplasm Recurrence, Local (epidemiology), Preoperative Care (economics), Preoperative Care (methods), Radionuclide Imaging (economics), Retrospective Studies, Sentinel Lymph Node (diagnostic imaging), Sentinel Lymph Node (pathology), Sentinel Lymph Node Biopsy (economics), Sentinel Lymph Node Biopsy (methods), Treatment Outcome, Young Adult.
- MESH :
- diagnostic imaging : Breast Neoplasms, Sentinel Lymph Node.
- economics : Preoperative Care, Radionuclide Imaging, Sentinel Lymph Node Biopsy.
- epidemiology : Neoplasm Recurrence, Local.
- methods : Preoperative Care, Sentinel Lymph Node Biopsy.
- pathology : Breast Neoplasms, Sentinel Lymph Node.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Axilla, Cost-Benefit Analysis, Female, Humans, Lymphatic Metastasis, Middle Aged, Retrospective Studies, Treatment Outcome, Young Adult.
Abstract
Sentinel lymph node (SLN) biopsy is currently the gold standard of treatment in early breast cancers. Identification of SLNs by preoperative scintigraphy has been carried out to improve the detection of SLNs intraoperatively, but the evidence of its cost-effectiveness is lacking. Here, we analyze the cost-effectiveness of the utilization of scintigraphy in detection of SLNs.
DOI: 10.1016/j.clbc.2016.08.006
PubMed: 27650388
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pubmed:27650388Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?</title><author><name sortKey="Co, Michael" sort="Co, Michael" uniqKey="Co M" first="Michael" last="Co">Michael Co</name><affiliation><nlm:affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong.</nlm:affiliation></affiliation></author><author><name sortKey="Kwong, Ava" sort="Kwong, Ava" uniqKey="Kwong A" first="Ava" last="Kwong">Ava Kwong</name><affiliation><nlm:affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong. Electronic address: avakwong@hku.hk.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27650388</idno><idno type="pmid">27650388</idno><idno type="doi">10.1016/j.clbc.2016.08.006</idno><idno type="wicri:Area/PubMed/Corpus">000615</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000615</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?</title><author><name sortKey="Co, Michael" sort="Co, Michael" uniqKey="Co M" first="Michael" last="Co">Michael Co</name><affiliation><nlm:affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong.</nlm:affiliation></affiliation></author><author><name sortKey="Kwong, Ava" sort="Kwong, Ava" uniqKey="Kwong A" first="Ava" last="Kwong">Ava Kwong</name><affiliation><nlm:affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong. Electronic address: avakwong@hku.hk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Clinical breast cancer</title><idno type="eISSN">1938-0666</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Breast Neoplasms (diagnostic imaging)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Cost-Benefit Analysis</term><term>Female</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local (epidemiology)</term><term>Preoperative Care (economics)</term><term>Preoperative Care (methods)</term><term>Radionuclide Imaging (economics)</term><term>Retrospective Studies</term><term>Sentinel Lymph Node (diagnostic imaging)</term><term>Sentinel Lymph Node (pathology)</term><term>Sentinel Lymph Node Biopsy (economics)</term><term>Sentinel Lymph Node Biopsy (methods)</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Preoperative Care</term><term>Radionuclide Imaging</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Neoplasm Recurrence, Local</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Preoperative Care</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Cost-Benefit Analysis</term><term>Female</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sentinel lymph node (SLN) biopsy is currently the gold standard of treatment in early breast cancers. Identification of SLNs by preoperative scintigraphy has been carried out to improve the detection of SLNs intraoperatively, but the evidence of its cost-effectiveness is lacking. Here, we analyze the cost-effectiveness of the utilization of scintigraphy in detection of SLNs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27650388</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>21</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1938-0666</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Clinical breast cancer</Title><ISOAbbreviation>Clin. Breast Cancer</ISOAbbreviation></Journal><ArticleTitle>Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?</ArticleTitle><Pagination><MedlinePgn>134-138</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1526-8209(16)30236-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clbc.2016.08.006</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Sentinel lymph node (SLN) biopsy is currently the gold standard of treatment in early breast cancers. Identification of SLNs by preoperative scintigraphy has been carried out to improve the detection of SLNs intraoperatively, but the evidence of its cost-effectiveness is lacking. Here, we analyze the cost-effectiveness of the utilization of scintigraphy in detection of SLNs.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Clinical and operative details were retrieved from a prospectively maintained database. The resources and cost data from each patient who had undergone SLN biopsy with preoperative scintigraphy were retrieved.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">From January 2008 to December 2012, 400 patients underwent SLN biopsy for breast cancer. A total of 329 had preoperative SLN mapping with scintigraphy, Baseline patient demographic data for both arms were comparable. The relapse and recurrence rate of both arms were not statistically different. The detection rate of SLNs of both arms was the same (100%), and there were no grade 2 or above lymphedema in both groups of patients. However, the cost of each patient undergoing SLN mapping was USD $345.8.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Preoperative SLN mapping does not improve the SLN detection rate. In addition, it does not affect the surgical outcomes in terms of complication, local relapse, and recurrence. The use of preoperative SLN mapping is no longer cost-effective.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Co</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwong</LastName><ForeName>Ava</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Breast Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong; Department of Surgery, The University of Hong Kong, Hong Kong. Electronic address: avakwong@hku.hk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Breast Cancer</MedlineTA><NlmUniqueID>100898731</NlmUniqueID><ISSNLinking>1526-8209</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003362" MajorTopicYN="Y">Cost-Benefit Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011877" MajorTopicYN="N">Radionuclide Imaging</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000071036" MajorTopicYN="N">Sentinel Lymph Node</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Cost effective</Keyword><Keyword MajorTopicYN="N">Scintigraphy</Keyword><Keyword MajorTopicYN="N">Sentinel lymph node</Keyword><Keyword MajorTopicYN="N">Sentinel node mapping</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>07</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>07</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>08</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27650388</ArticleId><ArticleId IdType="pii">S1526-8209(16)30236-1</ArticleId><ArticleId IdType="doi">10.1016/j.clbc.2016.08.006</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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