Follow-up of patients with Hodgkin's disease following curative treatment: the routine CT scan is of little value
(2003) In British Journal of Cancer 89(3). p.482-486- Abstract
- A total of 10-40% of patients with Hodgkin's disease relapse following initial curative therapy. Intensive follow-up is resource intensive and may identify false relapses. We performed a retrospective review of all patients with Hodgkin's disease treated at our centre between 1990 and 1999 to evaluate the utility of the components of follow-up. A total of 107 patients met the inclusion and exclusion criteria. The median age was 33 years and the median duration of follow-up 38 months. The total number of follow-up visits was 1209 and total number of CT scans 283. There were 109 suspected relapses of which 22 proved to be true relapses. Of the latter, 14 were identified clinically, six radiologically and two via lab testing. The routine CT... (More)
- A total of 10-40% of patients with Hodgkin's disease relapse following initial curative therapy. Intensive follow-up is resource intensive and may identify false relapses. We performed a retrospective review of all patients with Hodgkin's disease treated at our centre between 1990 and 1999 to evaluate the utility of the components of follow-up. A total of 107 patients met the inclusion and exclusion criteria. The median age was 33 years and the median duration of follow-up 38 months. The total number of follow-up visits was 1209 and total number of CT scans 283. There were 109 suspected relapses of which 22 proved to be true relapses. Of the latter, 14 were identified clinically, six radiologically and two via lab testing. The routine CT scan detected only two relapses (9%), yet accounted for 29% of the total follow-up costs. Based on data from our centre, the cost per true relapse was $6000 US, 49% incurred by radiological tests. The majority of the cost of follow-up was incurred by routine follow-up (84%) as opposed to the investigation of suspected relapses (16%). We conclude that most true relapses are clinically symptomatic and that the routine CT is an expensive and inefficient mode of routine follow-up. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/304694
- author
- Dryver, ET ; Jernström, Helena LU ; Tompkins, K ; Buckstein, R and Imrie, KR
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- relapse, Hodgkin's disease, follow-up, computed tomography scan
- in
- British Journal of Cancer
- volume
- 89
- issue
- 3
- pages
- 482 - 486
- publisher
- Nature Publishing Group
- external identifiers
-
- pmid:12888816
- wos:000184553100011
- scopus:0042978494
- ISSN
- 1532-1827
- DOI
- 10.1038/sj.bjc.6601052
- language
- English
- LU publication?
- yes
- id
- 91dd6813-2f36-4bb2-b3e6-0cbb87307a86 (old id 304694)
- date added to LUP
- 2016-04-01 11:50:38
- date last changed
- 2022-01-26 19:03:33
@article{91dd6813-2f36-4bb2-b3e6-0cbb87307a86,
abstract = {{A total of 10-40% of patients with Hodgkin's disease relapse following initial curative therapy. Intensive follow-up is resource intensive and may identify false relapses. We performed a retrospective review of all patients with Hodgkin's disease treated at our centre between 1990 and 1999 to evaluate the utility of the components of follow-up. A total of 107 patients met the inclusion and exclusion criteria. The median age was 33 years and the median duration of follow-up 38 months. The total number of follow-up visits was 1209 and total number of CT scans 283. There were 109 suspected relapses of which 22 proved to be true relapses. Of the latter, 14 were identified clinically, six radiologically and two via lab testing. The routine CT scan detected only two relapses (9%), yet accounted for 29% of the total follow-up costs. Based on data from our centre, the cost per true relapse was $6000 US, 49% incurred by radiological tests. The majority of the cost of follow-up was incurred by routine follow-up (84%) as opposed to the investigation of suspected relapses (16%). We conclude that most true relapses are clinically symptomatic and that the routine CT is an expensive and inefficient mode of routine follow-up.}},
author = {{Dryver, ET and Jernström, Helena and Tompkins, K and Buckstein, R and Imrie, KR}},
issn = {{1532-1827}},
keywords = {{relapse; Hodgkin's disease; follow-up; computed tomography scan}},
language = {{eng}},
number = {{3}},
pages = {{482--486}},
publisher = {{Nature Publishing Group}},
series = {{British Journal of Cancer}},
title = {{Follow-up of patients with Hodgkin's disease following curative treatment: the routine CT scan is of little value}},
url = {{http://dx.doi.org/10.1038/sj.bjc.6601052}},
doi = {{10.1038/sj.bjc.6601052}},
volume = {{89}},
year = {{2003}},
}