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

ABSTRACT Objective: The objective of this study is to compare the total costs of surgery and radiofrequency (RF) ablation for the treatment of benign thyroid nodules. Materials and methods: This is a prospective randomized study comparing cases treated with US-guided RF ablation (cases) and surgery...

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Bibliographic Details
Published in:Archives of Endocrinology and Metabolism 2021-11, Vol.65 (6), p.752-757
Main Authors: Schalch, Marcelo Soares, Costa, Anna Carolina Novais, Souza, Rafael Pereira de, Guerra, Filipe Lamounier Barros, Guerreiro, Roberta, Cicco, Rafael De
Format: Article
Language:English
Subjects:
Original
partial thyroidectomy
Radiofrequency ablation
thyroid nodule
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Summary:ABSTRACT Objective: The objective of this study is to compare the total costs of surgery and radiofrequency (RF) ablation for the treatment of benign thyroid nodules. Materials and methods: 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. Results: 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. Conclusion: This study demonstrated that radioablation has a competitive cost, making it an effective alternative in the treatment of benign thyroid nodules.
ISSN:2359-3997
2359-4292
DOI:10.20945/2359-3997000000411