Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia
Abstract Introduction: An estimated 1,399 new cases of pancreatic cancer (PC) and 1,406 deaths from the same cause occurred in Colombia in 2002. We evaluate the cost-effectiveness of multidetector computed tomography (CT), endoscopic ultrasonography (EUS) and positron emission tomography with comput...
- Autores:
-
García-Molina, Mario
Chicaíza Becerra, Liliana
Gamboa, Óscar
- Tipo de recurso:
- Work document
- Fecha de publicación:
- 2010
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/69991
- Acceso en línea:
- https://repositorio.unal.edu.co/handle/unal/69991
http://bdigital.unal.edu.co/2121/
- Palabra clave:
- 33 Economía / Economics
3 Ciencias sociales / Social sciences
Predator – prey model, Non – linear dynamic behavior, Demand cycles, Employment, Distribution.
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
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Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2García-Molina, Marioe5f78865-4fd5-4e88-80e1-6fc93228f1ea300Chicaíza Becerra, Liliana872d4795-cdeb-4294-9602-ae8c3d0cf338300Gamboa, Óscar511d9b9e-863e-4d60-b8cd-a2563ba0c5393002019-07-03T13:05:50Z2019-07-03T13:05:50Z2010-10https://repositorio.unal.edu.co/handle/unal/69991http://bdigital.unal.edu.co/2121/Abstract Introduction: An estimated 1,399 new cases of pancreatic cancer (PC) and 1,406 deaths from the same cause occurred in Colombia in 2002. We evaluate the cost-effectiveness of multidetector computed tomography (CT), endoscopic ultrasonography (EUS) and positron emission tomography with computed tomography (PET/CT) in diagnosis and staging of patients with clinical suspicion of PC. Materials and methods: We conducted a cost-effectiveness analysis based upon a systematic search to determine the strategies’ sensitivity and specificity. The costs of administering and monitoring were taken from the official tariff manuals. The results were assessed in terms of number of correct behaviours. We performed deterministic and probabilistic sensitivity analyses. Results: CT showed the best cost-effectiveness indicator (Col$ 3,397,163 for each appropriate behaviour). The cost of changing the strategy to that of CT plus EUS was Col$ 7,893,573 for each additional appropriate behavior. In the probabilistic analysis the cost-effective strategy was USE for a willingness to pay higher than Col$ 9,000,000 per additional unit, or TAC for smaller values. Conclusion: The cost-effective strategy in the evaluation of patients suspected PCis the multidetector CT. For values of willingness to pay more than Col$ 7,893,573 and Col$ 9,000,000 per additional unit cost-effective alternatives are EUS or CT plus EUS in series.application/pdfspaFacultad de Ciencias Económicas – Escuela de Economíahttp://www.fce.unal.edu.co/media/files/documentos/Comunicaciones/docgarcia_fce_ee_16.pdfUniversidad Nacional de Colombia Sede Bogotá Facultad de Ciencias Económicas Escuela de Economía EconomíaEconomíaGarcía Molina, Mario and Chicaíza Becerra, Liliana and Gamboa, Óscar (2010) Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia. Documento de trabajo. Facultad de Ciencias Económicas – Escuela de Economía, Bogotá.33 Economía / Economics3 Ciencias sociales / Social sciencesPredator – prey model, Non – linear dynamic behavior, Demand cycles, Employment, Distribution.Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in ColombiaDocumento de trabajoinfo:eu-repo/semantics/workingPaperinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_8042http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/WPORIGINALdocgarcia_fce_ee_16.pdfapplication/pdf316315https://repositorio.unal.edu.co/bitstream/unal/69991/1/docgarcia_fce_ee_16.pdf5ce4c9a065742a25442e8209b31f52e0MD51THUMBNAILdocgarcia_fce_ee_16.pdf.jpgdocgarcia_fce_ee_16.pdf.jpgGenerated Thumbnailimage/jpeg4678https://repositorio.unal.edu.co/bitstream/unal/69991/2/docgarcia_fce_ee_16.pdf.jpg9a3ab1c09e7451d1dc41ffd1952ebcbcMD52unal/69991oai:repositorio.unal.edu.co:unal/699912023-06-11 23:03:19.33Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co |
dc.title.spa.fl_str_mv |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
title |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
spellingShingle |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia 33 Economía / Economics 3 Ciencias sociales / Social sciences Predator – prey model, Non – linear dynamic behavior, Demand cycles, Employment, Distribution. |
title_short |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
title_full |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
title_fullStr |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
title_full_unstemmed |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
title_sort |
Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia |
dc.creator.fl_str_mv |
García-Molina, Mario Chicaíza Becerra, Liliana Gamboa, Óscar |
dc.contributor.author.spa.fl_str_mv |
García-Molina, Mario Chicaíza Becerra, Liliana Gamboa, Óscar |
dc.subject.ddc.spa.fl_str_mv |
33 Economía / Economics 3 Ciencias sociales / Social sciences |
topic |
33 Economía / Economics 3 Ciencias sociales / Social sciences Predator – prey model, Non – linear dynamic behavior, Demand cycles, Employment, Distribution. |
dc.subject.proposal.spa.fl_str_mv |
Predator – prey model, Non – linear dynamic behavior, Demand cycles, Employment, Distribution. |
description |
Abstract Introduction: An estimated 1,399 new cases of pancreatic cancer (PC) and 1,406 deaths from the same cause occurred in Colombia in 2002. We evaluate the cost-effectiveness of multidetector computed tomography (CT), endoscopic ultrasonography (EUS) and positron emission tomography with computed tomography (PET/CT) in diagnosis and staging of patients with clinical suspicion of PC. Materials and methods: We conducted a cost-effectiveness analysis based upon a systematic search to determine the strategies’ sensitivity and specificity. The costs of administering and monitoring were taken from the official tariff manuals. The results were assessed in terms of number of correct behaviours. We performed deterministic and probabilistic sensitivity analyses. Results: CT showed the best cost-effectiveness indicator (Col$ 3,397,163 for each appropriate behaviour). The cost of changing the strategy to that of CT plus EUS was Col$ 7,893,573 for each additional appropriate behavior. In the probabilistic analysis the cost-effective strategy was USE for a willingness to pay higher than Col$ 9,000,000 per additional unit, or TAC for smaller values. Conclusion: The cost-effective strategy in the evaluation of patients suspected PCis the multidetector CT. For values of willingness to pay more than Col$ 7,893,573 and Col$ 9,000,000 per additional unit cost-effective alternatives are EUS or CT plus EUS in series. |
publishDate |
2010 |
dc.date.issued.spa.fl_str_mv |
2010-10 |
dc.date.accessioned.spa.fl_str_mv |
2019-07-03T13:05:50Z |
dc.date.available.spa.fl_str_mv |
2019-07-03T13:05:50Z |
dc.type.spa.fl_str_mv |
Documento de trabajo |
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info:eu-repo/semantics/workingPaper |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/resource_type/c_8042 |
dc.type.coarversion.spa.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.content.spa.fl_str_mv |
Text |
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http://purl.org/redcol/resource_type/WP |
format |
http://purl.org/coar/resource_type/c_8042 |
status_str |
publishedVersion |
dc.identifier.uri.none.fl_str_mv |
https://repositorio.unal.edu.co/handle/unal/69991 |
dc.identifier.eprints.spa.fl_str_mv |
http://bdigital.unal.edu.co/2121/ |
url |
https://repositorio.unal.edu.co/handle/unal/69991 http://bdigital.unal.edu.co/2121/ |
dc.language.iso.spa.fl_str_mv |
spa |
language |
spa |
dc.relation.spa.fl_str_mv |
http://www.fce.unal.edu.co/media/files/documentos/Comunicaciones/docgarcia_fce_ee_16.pdf |
dc.relation.ispartof.spa.fl_str_mv |
Universidad Nacional de Colombia Sede Bogotá Facultad de Ciencias Económicas Escuela de Economía Economía Economía |
dc.relation.references.spa.fl_str_mv |
García Molina, Mario and Chicaíza Becerra, Liliana and Gamboa, Óscar (2010) Cost-effectiveness of CT, EUS and PET/CT in evaluating patients with symptoms of pancreatic cancer in Colombia. Documento de trabajo. Facultad de Ciencias Económicas – Escuela de Economía, Bogotá. |
dc.rights.spa.fl_str_mv |
Derechos reservados - Universidad Nacional de Colombia |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.license.spa.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Atribución-NoComercial 4.0 Internacional Derechos reservados - Universidad Nacional de Colombia http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
eu_rights_str_mv |
openAccess |
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application/pdf |
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Facultad de Ciencias Económicas – Escuela de Economía |
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Universidad Nacional de Colombia |
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