Atuhani S. Burnett

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

[This corrects the article DOI: 10.1007/s12262-015-1375-8.].

Cost-effectiveness of the evaluation of a suspicious biliary stricture

BACKGROUND Biliary stricture without mass presents diagnostic and therapeutic challenges because the poor sensitivity of the available tests and significant mortality and cost with operation. METHODS A decision model was developed to analyze costs and survival for 1) investigation first with endoscopic ultrasound (EUS) and fine needle aspiration, 2) investigation first with endoscopic retrograde cholangiopancreatography (ERCP) and brushing, or 3) surgery on every patient. The average age of someone with a biliary stricture was found to be 62-y-old and the rate of cancer was 55%. Incremental cost-effectiveness ratios (ICER) were calculated based on the change in quality adjusted life years (QALYs) and costs (US

Advantage of adjuvant radiation therapy in octogenarians undergoing surgical resection of rectal cancer.

) between the different options, with a threshold of

The role of surgical resection for hepatocellular carcinoma in octogenarians: A population-based analysis.

150,000 to determine the most cost-effective strategy. One-way, two-way, and probabilistic-sensitivity analysis were performed to validate the model. RESULTS ERCP results in 9.05 QALYs and a cost of

Survival difference in octogenarians with resectable gastric GIST: Surgery versus nonsurgical management.

34,685.11 for a cost-effectiveness ratio of

Sensitivity of endoscopic retrograde cholangiopancreatography standard cytology: 10-y review of the literature

3832.33. EUS results in an incremental increase in 0.13 QALYs and

Sensitivity of alternative testing for pancreaticobiliary cancer: a 10-y review of the literature

2773.69 for an ICER of

Sensitivity of ERCP Standard Cytology: 10 Year Review of the Literature

20,840.28 per QALY gained. Surgery resulted in a decrease of 1.37 QALYs and increased cost of

Enrollment of esophago-gastric cancer patients in a clinical fast-track program and it’s affect on time to treatment and quality of life.

14,323.94 (ICER-

A sensitive biomarker panel to distinguish pancreaticobiliary malignancies from benign disease.

10,490.53). These trends remained within most sensitivity analyses; however, ERCP and EUS were dependent on the test sensitivity. CONCLUSIONS In patients with a biliary stricture with no mass, the most cost-effective strategy is to investigate the patient before operation. The choice between EUS and ERCP should be institutionally dependent, with EUS being more cost-effective in our base case analysis.