Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama

Chest X ray, abdominal ultrasound and bone scintigraphy are usually requested to study a possible dissemination of breast carcinoma. Aim: To study the yield and costs of these exams in the study of dissemination of stage I and II breast carcinoma. Material and methods: A retrospective analysis of pa...

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Autores principales:	Camacho N,Jamile, Barriga Sch,Carolina, Escobar O,Paula, Seleme H,Nicolás, Schwartz A,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Breast diseases Breast neoplasms Carcinoma Mastectomy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200004
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id	oai:scielo:S0034-98872003000200004
record_format	dspace
spelling	oai:scielo:S0034-988720030002000042005-11-22Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mamaCamacho N,JamileBarriga Sch,CarolinaEscobar O,PaulaSeleme H,NicolásSchwartz A,Rodrigo Breast diseases Breast neoplasms Carcinoma Mastectomy Chest X ray, abdominal ultrasound and bone scintigraphy are usually requested to study a possible dissemination of breast carcinoma. Aim: To study the yield and costs of these exams in the study of dissemination of stage I and II breast carcinoma. Material and methods: A retrospective analysis of patients operated for a breast carcinoma in a public surgical service. A chest X ray, abdominal ultrasound and bone scintigraphy was requested to all patients in the immediate postoperative period. Age, stage according to pathological TNM and costs per patient were registered. Results: Of 210 women operated, 40 were in stage I (19%) and 85 in stage II (41%). Dissemination study was negative in all stage I patients and in all but two patients in stage II. The yield for detection of distant metastases in these patients was 0.9% for chest X ray, 0% for abdominal ultrasound and 0.9% for bone scintigraphy. The total cost of the study, in Chilean pesos, was $10,369,620 in a public hospital and $16,535,400 in a private clinic. Discussion: Additional exams to detect distant metastases in early stages of breast carcinoma have a low yield and high costs (Rev Méd Chile 2003; 131: 155-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.2 20032003-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200004es10.4067/S0034-98872003000200004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Breast diseases Breast neoplasms Carcinoma Mastectomy
spellingShingle	Breast diseases Breast neoplasms Carcinoma Mastectomy Camacho N,Jamile Barriga Sch,Carolina Escobar O,Paula Seleme H,Nicolás Schwartz A,Rodrigo Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
description	Chest X ray, abdominal ultrasound and bone scintigraphy are usually requested to study a possible dissemination of breast carcinoma. Aim: To study the yield and costs of these exams in the study of dissemination of stage I and II breast carcinoma. Material and methods: A retrospective analysis of patients operated for a breast carcinoma in a public surgical service. A chest X ray, abdominal ultrasound and bone scintigraphy was requested to all patients in the immediate postoperative period. Age, stage according to pathological TNM and costs per patient were registered. Results: Of 210 women operated, 40 were in stage I (19%) and 85 in stage II (41%). Dissemination study was negative in all stage I patients and in all but two patients in stage II. The yield for detection of distant metastases in these patients was 0.9% for chest X ray, 0% for abdominal ultrasound and 0.9% for bone scintigraphy. The total cost of the study, in Chilean pesos, was $10,369,620 in a public hospital and $16,535,400 in a private clinic. Discussion: Additional exams to detect distant metastases in early stages of breast carcinoma have a low yield and high costs (Rev Méd Chile 2003; 131: 155-8)
author	Camacho N,Jamile Barriga Sch,Carolina Escobar O,Paula Seleme H,Nicolás Schwartz A,Rodrigo
author_facet	Camacho N,Jamile Barriga Sch,Carolina Escobar O,Paula Seleme H,Nicolás Schwartz A,Rodrigo
author_sort	Camacho N,Jamile
title	Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
title_short	Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
title_full	Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
title_fullStr	Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
title_full_unstemmed	Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama
title_sort	costo beneficio del estudio de diseminación en estadios i y ii del cáncer de mama
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200004
work_keys_str_mv	AT camachonjamile costobeneficiodelestudiodediseminacionenestadiosiyiidelcancerdemama AT barrigaschcarolina costobeneficiodelestudiodediseminacionenestadiosiyiidelcancerdemama AT escobaropaula costobeneficiodelestudiodediseminacionenestadiosiyiidelcancerdemama AT selemehnicolas costobeneficiodelestudiodediseminacionenestadiosiyiidelcancerdemama AT schwartzarodrigo costobeneficiodelestudiodediseminacionenestadiosiyiidelcancerdemama
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Costo beneficio del estudio de diseminación en estadios I y II del cáncer de mama

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