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資料載入中.....
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請使用永久網址來引用或連結此文件:
http://ir.cmu.edu.tw/ir/handle/310903500/30245
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| 題名: | A review of the cost-effectiveness of Tc-99m sestamibi scintimammography in diagnosis of breast cancer in Taiwanese women with indeterminate mammographically dense breast |
| 作者: | Chen, YS;Wang, WHA;Chan, T;Sun, SS;Kao, A |
| 貢獻者: | 附設醫院管理中心;Chen, YS, China Med Coll Hosp, Adm Ctr, 2 Yuh Der Rd, Taichung 404, Taiwan |
| 日期: | 2002 |
| 上傳時間: | 2010-09-24 14:51:50 (UTC+8) |
| 出版者: | ELSEVIER SCI LTD |
| 摘要: | In general, biopsy is the preferred management method for women with indeterminate mammographically dense breasts. In this review, we describe a decision analysis model comparing technetium-99m methoxyisobutylisonitrile (Tc-99m sestamibi) scintimammography and excisional biopsy as breast cancer evaluation strategies for hypothetical cohorts of estimated 16,00040,000 women with indeterminate mammographic probability of malignancy because of mammographically dense breasts. In cost-effectiveness analysis, quantitative decision tree sensitivity analysis was used to compare the conventional excision biopsy alone strategy (strategy A) with decision strategy for screening with Tc-99m sestamibi scintimammography before excision biopsy (strategy B) after an indeterminate mammogram. Strategy B showed a cost saving of US dollars 649,600-1,624,000 in reducing the cost of unnecessary biopsies. The total cost of strategy B showed a cost saving of US dollars 123,075-307,776 compared to strategy A. The analysis data indicate that Tc-99rn sestamibi scintimammography can save the cost of unnecessary biopsies in Taiwanese women with non-diagnostic mammogram because of mammographically dense breasts. (C) 2002 Elsevier Science Ltd. All rights reserved. |
| 關聯: | SURGICAL ONCOLOGY-OXFORD 11(3):151-155 |
| 顯示於類別: | [台中附設醫院] 期刊論文
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