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Cost savings of patients with a MACIS score lower than 6 when radioactive iodine is not given.
Arch Otolaryngol Head Neck Surg. 2007 Sep; 133(9):870-3.AO

Abstract

OBJECTIVE

To assess the cost savings if the current policy of treating patients with a MACIS (metastases, age, completeness of resection, invasion, and size) score lower than 6 using radioactive iodine (RAI) was changed to reflect the findings of recent studies.

DESIGN

Retrospective medical record review.

SETTING

Mount Sinai Hospital, Toronto, Ontario.

PATIENTS

Between January 1, 2002, and July 1, 2005, 199 consecutive patients with a MACIS score lower than 6 who received RAI treatment after total thyroidectomy.

MAIN OUTCOME MEASURES

Patient demographics were analyzed. Costs for the dose of RAI, hospital stay, and health insurance claims were included in the calculations.

RESULTS

For 199 consecutive patients, the cost for sodium iodide 131 treatment totaled Can$161 588, and the required 2-day stay in isolation totaled Can$764 558. The overall cost to the health care system was Can$934 106, which translates into approximately Can$4694 per patient.

CONCLUSIONS

By following the recommendations of recent evidence-based studies and by ceasing to treat patients with a MACIS score lower than 6 after total thyroidectomy using RAI, cost savings can be accrued for health care systems involved in the treatment of thyroid cancer. Alternate strategies, such as treating patients who need RAI therapy on an outpatient basis and reducing the dose of RAI, can lower costs as well.

Authors+Show Affiliations

Department of Otolaryngology, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada. ppaceasc@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17875852

Citation

Pace-Asciak, Pia Z., et al. "Cost Savings of Patients With a MACIS Score Lower Than 6 when Radioactive Iodine Is Not Given." Archives of Otolaryngology--head & Neck Surgery, vol. 133, no. 9, 2007, pp. 870-3.
Pace-Asciak PZ, Payne RJ, Eski SJ, et al. Cost savings of patients with a MACIS score lower than 6 when radioactive iodine is not given. Arch Otolaryngol Head Neck Surg. 2007;133(9):870-3.
Pace-Asciak, P. Z., Payne, R. J., Eski, S. J., Walfish, P., Damani, M., & Freeman, J. L. (2007). Cost savings of patients with a MACIS score lower than 6 when radioactive iodine is not given. Archives of Otolaryngology--head & Neck Surgery, 133(9), 870-3.
Pace-Asciak PZ, et al. Cost Savings of Patients With a MACIS Score Lower Than 6 when Radioactive Iodine Is Not Given. Arch Otolaryngol Head Neck Surg. 2007;133(9):870-3. PubMed PMID: 17875852.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost savings of patients with a MACIS score lower than 6 when radioactive iodine is not given. AU - Pace-Asciak,Pia Z, AU - Payne,Richard J, AU - Eski,Spiro J, AU - Walfish,Paul, AU - Damani,Manzur, AU - Freeman,Jeremy L, PY - 2007/9/19/pubmed PY - 2007/10/30/medline PY - 2007/9/19/entrez SP - 870 EP - 3 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 133 IS - 9 N2 - OBJECTIVE: To assess the cost savings if the current policy of treating patients with a MACIS (metastases, age, completeness of resection, invasion, and size) score lower than 6 using radioactive iodine (RAI) was changed to reflect the findings of recent studies. DESIGN: Retrospective medical record review. SETTING: Mount Sinai Hospital, Toronto, Ontario. PATIENTS: Between January 1, 2002, and July 1, 2005, 199 consecutive patients with a MACIS score lower than 6 who received RAI treatment after total thyroidectomy. MAIN OUTCOME MEASURES: Patient demographics were analyzed. Costs for the dose of RAI, hospital stay, and health insurance claims were included in the calculations. RESULTS: For 199 consecutive patients, the cost for sodium iodide 131 treatment totaled Can$161 588, and the required 2-day stay in isolation totaled Can$764 558. The overall cost to the health care system was Can$934 106, which translates into approximately Can$4694 per patient. CONCLUSIONS: By following the recommendations of recent evidence-based studies and by ceasing to treat patients with a MACIS score lower than 6 after total thyroidectomy using RAI, cost savings can be accrued for health care systems involved in the treatment of thyroid cancer. Alternate strategies, such as treating patients who need RAI therapy on an outpatient basis and reducing the dose of RAI, can lower costs as well. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/17875852/Cost_savings_of_patients_with_a_MACIS_score_lower_than_6_when_radioactive_iodine_is_not_given_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.133.9.870 DB - PRIME DP - Unbound Medicine ER -