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Hexaminolevulinate hydrochloride blue-light flexible cystoscopy in the detection and follow-up of nonmuscle-invasive bladder cancer : Cost consequences during outpatient surveillance in Sweden

Dansk, Viktor ; Malmström, Per Uno ; Bläckberg, Mats LU and Malmenäs, Maria (2016) In Future Oncology 12(8). p.1025-1038
Abstract

Aim: This study explored the cost consequences of introducing hexaminolevulinate hydrochloride-guided blue-light flexible cystoscopy (HAL BLFC) as an adjunct to white-light flexible cystoscopy compared with white-light flexible cystoscopy alone, for the detection and management of nonmuscle invasive bladder cancer in Sweden. Methods: The model evaluated 231 patients in the outpatient setting after successful initial transurethral resection of the bladder tumor. Results: HAL BLFC introduction across all risk groups resulted in minimal budget impact (+1.6% total cost/5 years, or 189 Swedish Krona [SEK] per patient/year), and translated to cost savings in intermediate- and high-risk groups from year 2. Conclusion: HAL BLFC allowed more... (More)

Aim: This study explored the cost consequences of introducing hexaminolevulinate hydrochloride-guided blue-light flexible cystoscopy (HAL BLFC) as an adjunct to white-light flexible cystoscopy compared with white-light flexible cystoscopy alone, for the detection and management of nonmuscle invasive bladder cancer in Sweden. Methods: The model evaluated 231 patients in the outpatient setting after successful initial transurethral resection of the bladder tumor. Results: HAL BLFC introduction across all risk groups resulted in minimal budget impact (+1.6% total cost/5 years, or 189 Swedish Krona [SEK] per patient/year), and translated to cost savings in intermediate- and high-risk groups from year 2. Conclusion: HAL BLFC allowed more outpatient treatment with improved recurrence detection and reduced transurethral resection of the bladder tumors, cystectomies, bed days and operating room time, with minimal cost impact across all risk groups, demonstrating the economic benefits of introducing HAL.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
bladder cancer, budget impact, cost-consequences model, detection, economic evaluation, fluorescence cystoscopy, fulguration, hexaminolevulinate, recurrence, Sweden
in
Future Oncology
volume
12
issue
8
pages
14 pages
publisher
Future Medicine Ltd.
external identifiers
  • scopus:84961932992
  • pmid:26975197
ISSN
1479-6694
DOI
10.2217/fon-2015-0021
language
English
LU publication?
no
id
5d0da68d-4729-4abe-8a0c-098d4abb807d
date added to LUP
2020-04-14 15:42:16
date last changed
2024-01-17 00:55:15
@article{5d0da68d-4729-4abe-8a0c-098d4abb807d,
  abstract     = {{<p>Aim: This study explored the cost consequences of introducing hexaminolevulinate hydrochloride-guided blue-light flexible cystoscopy (HAL BLFC) as an adjunct to white-light flexible cystoscopy compared with white-light flexible cystoscopy alone, for the detection and management of nonmuscle invasive bladder cancer in Sweden. Methods: The model evaluated 231 patients in the outpatient setting after successful initial transurethral resection of the bladder tumor. Results: HAL BLFC introduction across all risk groups resulted in minimal budget impact (+1.6% total cost/5 years, or 189 Swedish Krona [SEK] per patient/year), and translated to cost savings in intermediate- and high-risk groups from year 2. Conclusion: HAL BLFC allowed more outpatient treatment with improved recurrence detection and reduced transurethral resection of the bladder tumors, cystectomies, bed days and operating room time, with minimal cost impact across all risk groups, demonstrating the economic benefits of introducing HAL.</p>}},
  author       = {{Dansk, Viktor and Malmström, Per Uno and Bläckberg, Mats and Malmenäs, Maria}},
  issn         = {{1479-6694}},
  keywords     = {{bladder cancer; budget impact; cost-consequences model; detection; economic evaluation; fluorescence cystoscopy; fulguration; hexaminolevulinate; recurrence; Sweden}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{8}},
  pages        = {{1025--1038}},
  publisher    = {{Future Medicine Ltd.}},
  series       = {{Future Oncology}},
  title        = {{Hexaminolevulinate hydrochloride blue-light flexible cystoscopy in the detection and follow-up of nonmuscle-invasive bladder cancer : Cost consequences during outpatient surveillance in Sweden}},
  url          = {{http://dx.doi.org/10.2217/fon-2015-0021}},
  doi          = {{10.2217/fon-2015-0021}},
  volume       = {{12}},
  year         = {{2016}},
}