Economic Evaluation of Positron Emission Tomography (PET) in Non Small Cell Lung Cancer (NSCLC), CHERE Working Paper 2007/6



Hayashi et al
(2005) Japan

a) CT only (If negative
surgery, If positive
chemotheraphy)

b) PET +CT ( If negative
thoractomy, if positive
chemotheraphy)

c) PET + CT (If PET
positive then
mediastinoscopy, if
negative then surgery)

Potentially
operable
NSCLC
free of Ml

Cost utility

Quality adjusted

Life Year (QALY)

Decision
Analysis

a) 4.79 LYs/

4.35 QALYs

b) 5.33 LYs/

4.93 QALYs

c) 5.68 LYs/

5.33 QALYS

n/a

c) vs a)
$4,775/QALY

c) vs b)
$7,555/QALY

Nguyen et al
(2005) Canada

a) CT (If positive then
mediastinoscopy, if
negative then surgery)

b) CT + PET (Biopsy or
mediastinoscopy to
confirm PET results)_______

Potentially
operable
NSCLC

Cost
effectiveness

LY gained

Decision
Analysis

b) vs a) 0.27
LY

b) vs a)
$1,268

b) vs a)
$4,689/LY gained

Gambhir 1996,
USA

a) CT - if positive then
Mediastinoscopy

b) CT and PET - if
positive PET or positive
CT then mediastinoscopy

c) CT and PET -
Mediastinoscopy if
discordant

Potentially
operable
NSCLC

Cost-
effectiveness

LY gained

Decision
analysis

b) vs a) +3 days

b) vs a) -
$1,154
c) vs a) -
$2267

b) Dominate a)
c) Saves
additional costs
$1,524

33



More intriguing information

1. Banking Supervision in Integrated Financial Markets: Implications for the EU
2. The name is absent
3. BODY LANGUAGE IS OF PARTICULAR IMPORTANCE IN LARGE GROUPS
4. On s-additive robust representation of convex risk measures for unbounded financial positions in the presence of uncertainty about the market model
5. Auction Design without Commitment
6. Insurance within the firm
7. Word searches: on the use of verbal and non-verbal resources during classroom talk
8. Measuring and Testing Advertising-Induced Rotation in the Demand Curve
9. The English Examining Boards: Their route from independence to government outsourcing agencies
10. Temporary Work in Turbulent Times: The Swedish Experience