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dc.contributor.supervisor Taylor, Mark (Surgery) en
dc.contributor.author McKay, Michael Andrew
dc.date.accessioned 2006-03-08T20:14:38Z
dc.date.available 2006-03-08T20:14:38Z
dc.date.issued 2006-03-08T20:14:38Z
dc.identifier.uri http://hdl.handle.net/1993/206
dc.description.abstract This is a prospective, non-randomized pilot study comparing the cost-utility of hepatic resection, radiofrequency ablation (RFA), systemic chemotherapy, and symptom control only for the treatment of colorectal liver metastases. Seven patients underwent hepatic resection, 7 underwent RFA, 20 received chemotherapy, and 6 received symptom control alone. Liver resection provided an average of 2.51 QALY’s compared to 1.99 QALY’s for RFA, and 1.18 QALY’s for chemotherapy, and 0.82 QALY’s for symptom control alone. The costs were $20,122, $ 15,845, $15,069, and $3,899, respectively. The cost-utilities of liver resection and RFA were similar at $8,027 and $7,965 per QALY, respectively, although patients receiving RFA generally had more advanced disease. The cost-utility of chemotherapy was $12,751/QALY and the cost-utility of symptom control alone was $4,788/QALY. RFA is still a relatively new. However, if long-term survival proves promising, it may prove to be a viable alternative to liver resection. en
dc.format.extent 1057159 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US
dc.subject cost-utility en
dc.subject quality of life en
dc.subject colorectal en
dc.subject liver metastases en
dc.subject radiofrequency ablation en
dc.subject liver resection en
dc.title A cost-utility analysis of liver resection for malignant tumours: a pilot project en
dc.type Electronic Thesis or Dissertation en
dc.degree.discipline Surgery en
dc.contributor.examiningcommittee Latosinsky, Steven (Surgery) Abdoh, Ahmed (Surgery) Forget, Evelyn (Community Health Sciences) en
dc.degree.level Master of Science (M.Sc.) en
dc.description.note May 2006 en


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