Kim Soo Young, Kim Seok-Mo, Chang Hojin, Kim Bup-Woo, Lee Yong Sang, Kwon Soon-Sun, Shin Hyunjung, Chang Hang-Seok, Park Cheong Soo
Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Institute of Refractory Thyroid Cancer, Yonsei University College of Medicine, Seoul, Korea.
Department of Mathematics/Data Science, Ajou University, Suwon, Korea.
Head Neck. 2019 Jul;41(7):2376-2379. doi: 10.1002/hed.25706. Epub 2019 Feb 19.
The aim of this study was to provide an analysis of thyroid cancer-related health care costs over a 5-year period, according to the extent of thyroid surgery.
The study included 33 patients from our institutional database who underwent thyroid cancer surgery in 2010. Patients were divided into four groups based on surgical extent: (1) hemithyroidectomy, (2) total thyroidectomy, (3) total thyroidectomy with ipsilateral radical neck dissection, and (4) total thyroidectomy with bilateral radical neck dissection and mediastinal dissection. Costs for admission and outpatient follow-up for 5 years were analyzed.
Costs for outpatient follow-up and admission, and overall cost increased with increasing stage of disease and increasing extent of thyroid surgery. Patients who underwent only hemithyroidectomy had the lowest costs for outpatient follow-up and admission, as well as the lowest overall cost.
Over the 5-year follow-up period, surgery performed at an early disease stage was the most cost-effective.
本研究的目的是根据甲状腺手术范围，对5年期间与甲状腺癌相关的医疗保健费用进行分析。
该研究纳入了2010年在我们机构数据库中接受甲状腺癌手术的33例患者。根据手术范围将患者分为四组：（1）甲状腺次全切除术，（2）甲状腺全切除术，（3）甲状腺全切除术加同侧根治性颈清扫术，以及（4）甲状腺全切除术加双侧根治性颈清扫术和纵隔清扫术。分析了5年的住院和门诊随访费用。
门诊随访和住院费用以及总费用随着疾病分期的增加和甲状腺手术范围的扩大而增加。仅接受甲状腺次全切除术的患者门诊随访和住院费用最低，总费用也最低。
在5年的随访期内，疾病早期进行的手术最具成本效益。
