Cordectomy by CO2 laser or radiotherapy for small T1a glottic carcinomas: Costs, local control, survival, quality of life, and voice quality

Background. The clinical results of radiotherapy and endoscopic cordectomy for T1a glottic carcinoma are reported to be similar, but costs of both treatments may differ. Therefore, we retrospectively evaluated the costs, voice quality, quality of life, and clinical results of both treatments. Method...

Full description

Saved in:
Bibliographic Details
Published in:Head & neck 2007-02, Vol.29 (2), p.128-136
Main Authors: Goor, Kim M., Peeters, A. Jeanne G. E., Mahieu, Hans F., Langendijk, Johannes A., Leemans, C. René, Verdonck-de Leeuw, Irma M., van Agthoven, Michel
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carbon Dioxide
Carcinoma - mortality
Carcinoma - radiotherapy
Carcinoma - surgery
Costs and Cost Analysis
Female
Follow-Up Studies
glottis
Glottis - surgery
head and neck neoplasms
Humans
laryngeal cancer
laryngeal disease
laryngeal neoplasms
Laryngeal Neoplasms - mortality
Laryngeal Neoplasms - radiotherapy
Laryngeal Neoplasms - surgery
Laryngoscopy
laser surgery
Laser Therapy - economics
Laser Therapy - methods
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - economics
Otorhinolaryngology. Stomatology
Quality of Life
radiotherapy
Radiotherapy - economics
Retrospective Studies
Surveys and Questionnaires
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Vocal Cords - surgery
Voice Quality
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background. The clinical results of radiotherapy and endoscopic cordectomy for T1a glottic carcinoma are reported to be similar, but costs of both treatments may differ. Therefore, we retrospectively evaluated the costs, voice quality, quality of life, and clinical results of both treatments. Methods. Costs and effects from the first visit up to 2 years of follow‐up were calculated, based on chart data of 35 and 54 patients who were treated with curative intent for T1a glottic carcinoma from 1995 to 1999 with radiotherapy and endoscopic cordectomy, respectively. Voice quality and quality of life were evaluated by means of patient questionnaires. Results. Total costs (in Euros) of radiotherapy and CO2‐laser cordectomy were €8322 and €4434, respectively, including the costs of treating possible recurrences. The effects of both treatments were equal, including voice quality and quality of life. Conclusions. We conclude that endoscopic cordectomy is an efficient alternative for radiotherapy for these patients. © 2006 Wiley Periodicals, Inc. Head Neck, 2007
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.20500