Wagner T T, Young D, Bahnson R R
Division of Urology, Ohio State University, Columbus, USA.
J Urol. 1999 Apr;161(4):1216-8.
For the treatment of clinically localized prostate cancer radical retropubic prostatectomy with its attendant hospital stay should be associated with higher charges than transperineal prostate brachytherapy. We report a comparative case series to determine patient charges and length of hospitalization of 2 modalities of monotherapy for localized prostate cancer.
A total of 35 consecutive patients with clinically localized prostate cancer underwent radical retropubic prostatectomy (16) or transperineal prostate brachytherapy (19) at the Arthur James Cancer Hospital and Research Institute. Complete charge and length of hospital stay data were collected for each patient. Total charges were calculated and the 2 modalities were compared.
Charge data were available in 33 cases. Average total charges in the prostatectomy and brachytherapy groups were $15,097 and $21,025, respectively ($5,928 difference, p <0.0001). The difference increased further when outliers were excluded from study. Average length of hospital stay and average charge in the prostatectomy group were 3.8 days and $1,897. The higher charges for transperineal prostatic brachytherapy were due to dosimetry calculations, radioactive seeds and seed implantation.
At our institution the average total charges for transperineal prostate brachytherapy are significantly higher than those for radical retropubic prostatectomy.
对于临床局限性前列腺癌的治疗，耻骨后根治性前列腺切除术及其伴随的住院时间应比经会阴前列腺近距离放射治疗费用更高。我们报告一个比较病例系列，以确定局限性前列腺癌两种单一疗法的患者费用和住院时间。
共有35例临床局限性前列腺癌患者在亚瑟·詹姆斯癌症医院和研究所接受了耻骨后根治性前列腺切除术（16例）或经会阴前列腺近距离放射治疗（19例）。收集了每位患者的完整费用和住院时间数据。计算总费用并比较两种治疗方式。
33例患者有费用数据。前列腺切除术组和近距离放射治疗组的平均总费用分别为15,097美元和21,025美元（相差5,928美元，p<0.0001）。当排除异常值后，差异进一步增大。前列腺切除术组的平均住院时间和平均费用分别为3.8天和1,897美元。经会阴前列腺近距离放射治疗费用较高是由于剂量计算、放射性粒子和粒子植入。
在我们机构，经会阴前列腺近距离放射治疗的平均总费用显著高于耻骨后根治性前列腺切除术。
