Radiofrequency ablation of thyroid nodules: prospective cost-effectiveness analysis in comparison to conventional thyroidectomy

Radiofrequency ablation of thyroid nodules: prospective cost-effectiveness analysis in comparison to conventional thyroidectomy

The objective of this study is to compare the total costs of surgery and radiofrequency (RF) ablation for the treatment of benign thyroid nodules. This is a prospective randomized study comparing cases treated with US-guided RF ablation (cases) and surgery (control). They were selected and allocated...

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Bibliographic Details
Published in:Archives of Endocrinology and Metabolism Vol. 65; no. 6; pp. 752 - 757
Main Authors: Schalch, Marcelo Soares, Costa, Anna Carolina Novais, de Souza, Rafael Pereira, Guerra, Filipe Lamounier Barros, Guerreiro, Roberta, De Cicco, Rafael
Format: Journal Article
Language:English
Published: Brazil Sociedade Brasileira de Endocrinologia e Metabologia 24-11-2021
Brazilian Society of Endocrinology and Metabolism
Subjects:
Catheter Ablation
Cost-Benefit Analysis
Humans
Original
partial thyroidectomy
Prospective Studies
Radiofrequency Ablation
thyroid nodule
Thyroid Nodule - surgery
Thyroidectomy
Treatment Outcome
partial thyroidectomy
Radiofrequency ablation
thyroid nodule
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Summary:The objective of this study is to compare the total costs of surgery and radiofrequency (RF) ablation for the treatment of benign thyroid nodules. This is a prospective randomized study comparing cases treated with US-guided RF ablation (cases) and surgery (control). They were selected and allocated to groups (thyroidectomy or radioablation) by permuted block randomization in blocks of five cases each. Five cases of RF Ablation were compared with five cases of thyroidectomies conducted in the same period. Similar complication rates were observed in both groups. Shorter operating time and hospital stay were observed for the RF group. In the evaluation of the total cost between procedures, radioblation represented 76% of the cost of partial thyroidectomy. This study demonstrated that radioablation has a competitive cost, making it an effective alternative in the treatment of benign thyroid nodules.
Bibliography:Disclosure: the authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Contributor statements: Marcelo S. Schalch designed the study, wrote the protocol, drafted the article, and interpreted the data. Anna Carolina N. Costa designed the study and wrote the protocol. Rafael P. Souza, Filipe L. B. Guerra and Roberta Guerreiro participated in the study design and was responsible for the final approval of this version and Rafael De Cicco conducted the statistical analysis and reviewed studies.
ISSN:2359-3997
2359-4292
DOI:10.20945/2359-3997000000411