Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A

Everyone knows that the surgical treatment of breast cancer is a major step in the combined treatment of breast cancer. One of the problems faced by cancer clinics are large economic costs in the treatment of patients with breast cancer. Thereby significantly affect the budget oncology clinics. In t...

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Main Authors: S. M. Demidov, T. O. Irikh, D. A. Demidov, S. A. Lan, O. A. Rykalina
Format: Article
Language:Russian
Published: ABV-press 2015-07-01
Series:Опухоли женской репродуктивной системы
Subjects:
Online Access:https://ojrs.abvpress.ru/ojrs/article/view/435
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author S. M. Demidov
T. O. Irikh
D. A. Demidov
S. A. Lan
O. A. Rykalina
author_facet S. M. Demidov
T. O. Irikh
D. A. Demidov
S. A. Lan
O. A. Rykalina
author_sort S. M. Demidov
collection DOAJ
description Everyone knows that the surgical treatment of breast cancer is a major step in the combined treatment of breast cancer. One of the problems faced by cancer clinics are large economic costs in the treatment of patients with breast cancer. Thereby significantly affect the budget oncology clinics. In turn, the operations for performing advanced breast cancer significantly increases the time of hospital stay and also increases the cost of treating the patient. The objective of our study is to evaluate the cost-effectiveness of different options for surgical treatment in patients with early breast cancer luminal type A. We analyzed 200 patients with stage T1N0M0 breast cancer with luminal type A follow-up was 5 years. Patients were divided into four groups. The first group included 50 patients who underwent mastectomy with preservation of both pectoral muscles. The second group included 50 patients who had undergone radical resection of the breast. The third group included 50 patients who underwent resection of sectoral with stadiuma lymph node dissection. The fourth group included 50 patients who underwent resection with wide sectoral lymph node biopsy signal. As a result, we found that the implementation of sectoral resection with lymph node biopsy signaling in patients with breast cancer T1N0M0 stage (luminal type A) allows to reduce the duration of inpatient treatment and thus reduce the cost of inpatient care at a comparable overall and disease-free survival.
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spelling doaj.art-84ec61d667ae47848401b8d8f2607f772023-03-13T08:44:35ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272015-07-01112565810.17650/1994-4098-2015-11-2-56-58450Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type AS. M. Demidov0T. O. Irikh1D. A. Demidov2S. A. Lan3O. A. Rykalina4ГБОУ ВПО «Уральский государственный медицинский университет» Минздрава России; Россия, 620028, Екатеринбург, ул. Репина, 3 МАУ «Городская клиническая больница № 40»; Россия, 620102, Екатеринбург, ул. Волгоградская, 189ГБОУ ВПО «Уральский государственный медицинский университет» Минздрава России; Россия, 620028, Екатеринбург, ул. Репина, 3 МАУ «Городская клиническая больница № 40»; Россия, 620102, Екатеринбург, ул. Волгоградская, 189ГБОУ ВПО «Уральский государственный медицинский университет» Минздрава России; Россия, 620028, Екатеринбург, ул. Репина, 3 МАУ «Городская клиническая больница № 40»; Россия, 620102, Екатеринбург, ул. Волгоградская, 189ГБОУ ВПО «Уральский государственный медицинский университет» Минздрава России; Россия, 620028, Екатеринбург, ул. Репина, 3 МАУ «Городская клиническая больница № 40»; Россия, 620102, Екатеринбург, ул. Волгоградская, 189МАУ «Городская клиническая больница № 40»; Россия, 620102, Екатеринбург, ул. Волгоградская, 189Everyone knows that the surgical treatment of breast cancer is a major step in the combined treatment of breast cancer. One of the problems faced by cancer clinics are large economic costs in the treatment of patients with breast cancer. Thereby significantly affect the budget oncology clinics. In turn, the operations for performing advanced breast cancer significantly increases the time of hospital stay and also increases the cost of treating the patient. The objective of our study is to evaluate the cost-effectiveness of different options for surgical treatment in patients with early breast cancer luminal type A. We analyzed 200 patients with stage T1N0M0 breast cancer with luminal type A follow-up was 5 years. Patients were divided into four groups. The first group included 50 patients who underwent mastectomy with preservation of both pectoral muscles. The second group included 50 patients who had undergone radical resection of the breast. The third group included 50 patients who underwent resection of sectoral with stadiuma lymph node dissection. The fourth group included 50 patients who underwent resection with wide sectoral lymph node biopsy signal. As a result, we found that the implementation of sectoral resection with lymph node biopsy signaling in patients with breast cancer T1N0M0 stage (luminal type A) allows to reduce the duration of inpatient treatment and thus reduce the cost of inpatient care at a comparable overall and disease-free survival.https://ojrs.abvpress.ru/ojrs/article/view/435рак молочной железылюминальный тип амастэктомиярадикальная резекциястадирующая лимфодиссекциябиопсия сигнального лимфоузласекторальная резекциялимфодиссекциякойко-деньстоимость лечения
spellingShingle S. M. Demidov
T. O. Irikh
D. A. Demidov
S. A. Lan
O. A. Rykalina
Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
Опухоли женской репродуктивной системы
рак молочной железы
люминальный тип а
мастэктомия
радикальная резекция
стадирующая лимфодиссекция
биопсия сигнального лимфоузла
секторальная резекция
лимфодиссекция
койко-день
стоимость лечения
title Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
title_full Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
title_fullStr Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
title_full_unstemmed Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
title_short Cost-effectiveness of lymphadenectomy in patients with early breast cancer luminal type A
title_sort cost effectiveness of lymphadenectomy in patients with early breast cancer luminal type a
topic рак молочной железы
люминальный тип а
мастэктомия
радикальная резекция
стадирующая лимфодиссекция
биопсия сигнального лимфоузла
секторальная резекция
лимфодиссекция
койко-день
стоимость лечения
url https://ojrs.abvpress.ru/ojrs/article/view/435
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