Cost-effectiveness of recall strategies for non-invasive diagnosis of small hepatocellular carcinoma

2009 ◽  
Vol 41 (5) ◽  
pp. A12
Author(s):  
F. Piscaglia ◽  
S. Leoni ◽  
G. Cabibbo ◽  
G. Imbriaco ◽  
A. Borghi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cost Effectiveness ◽  
Small Hepatocellular Carcinoma ◽  
Non Invasive

811 COST-EFFECTIVENESS OF RECALL STRATEGIES FOR NON-INVASIVE DIAGNOSIS OF SMALL HEPATOCELLULAR CARCINOMA

2009 ◽  
Vol 50 ◽  
pp. S296-S297
Author(s):  
F. Piscaglia ◽  
S. Leoni ◽  
G. Cabibbo ◽  
G. Imbriaco ◽  
A. Borghi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cost Effectiveness ◽  
Small Hepatocellular Carcinoma ◽  
Non Invasive

COST-EFFECTIVENESS OF NAVIGATED RADIOFREQUENCY ABLATION FOR HEPATOCELLULAR CARCINOMA IN CHINA

2014 ◽  
Vol 30 (4) ◽  
pp. 400-408
Author(s):  
Yizhen Lai ◽  
Kai Li ◽  
Junbo Li ◽  
Sheena Xin Liu
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cost Effectiveness ◽  
Radiofrequency Ablation ◽  
Cost Savings ◽  
Ablation Rate ◽  
Dominant Strategy ◽  
Small Hepatocellular Carcinoma ◽  
Disposable Needle ◽  
Small Hcc ◽  
The Cost

Objectives: Real-time virtual sonography (RVS) is a promising navigation technique for percutaneous radiofrequency ablation (RFA) treatment, especially in ablating nodules poorly visualized on conventional ultrasonography (US). However, its cost-effectiveness has not been established. The purpose of this study is to evaluate the cost-effectiveness of RVS navigated RFA (RVS-RFA) relative to US guided RFA (US-RFA) in patients with small hepatocellular carcinoma (HCC) in China, from the modified societal perspective.Methods: A state-transition Markov model was created using TreeAge Pro™ 2012. The parameters used in the model, including natural history of HCC patients, procedure efficacy and related costs, were obtained from a systematic search of literature through PubMed, EMBASE, and Science Citation Index databases. The simulated cohort was patients with solitary, small HCC (<3 cm in diameter) and Child-Pugh class A or B, whose tumors are poorly visualized in B-mode US but clearly detectable by CT or MRI.Results: In this cohort of difficult cases, RVS-RFA was a preferred strategy saving 2,467 CNY ($392) throughout the patient's life while gaining additional 1.4 QALYs compared with conventional US guidance. The results were sensitive to the efficacy of US-RFA and RVS-RFA including complete ablation rate and local recurrence rate, the median survival for patients with progressive HCC, the probability of performing RFA for recurrent HCC, and the cost of RVS navigation, disposable needle or hospitalization.Conclusions: RVS-RFA is a dominant strategy for patients with small HCC unidentifiable in B-mode US, in terms of cost savings and QALYs gained, relative to the conventional US-guided method.

T1947 Real-Time Elastography - a Pilot Study for Non-Invasive Detection of Small Hepatocellular Carcinoma in Cirrhotic Patients

2008 ◽  
Vol 134 (4) ◽  
pp. A-827-A-828
Author(s):  
Liana Gheorghe ◽  
Speranta Iacob ◽  
Razvan Iacob ◽  
Gabriel Becheanu ◽  
Mona Dumbrava ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Pilot Study ◽  
Real Time ◽  
Small Hepatocellular Carcinoma ◽  
Non Invasive ◽  
Cirrhotic Patients

Cost analysis of recall strategies for non-invasive diagnosis of small hepatocellular carcinoma

2010 ◽  
Vol 42 (10) ◽  
pp. 729-734 ◽  
Author(s):  
Fabio Piscaglia ◽  
Simona Leoni ◽  
Giuseppe Cabibbo ◽  
Alberto Borghi ◽  
Grazia Imbriaco ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cost Analysis ◽  
Small Hepatocellular Carcinoma ◽  
Non Invasive
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