Abstract
OBJETIVO: O objetivo deste estudo foi comparar os custos do tratamento clínico e cirúrgico para carcinoma basocelular palpebral. MÉTODO: Neste estudo piloto, doze pacientes com carcinoma basocelular atendidos no departamento de Plástica Ocular do Hospital das Clínicas da Universidade de São Paulo (HC-FMUSP) foram tratados com imiquimode creme 5%. O Custo do tratamento clínico foi estimado baseado no tempo de tratamento e quantidade de medicação utilizada pelo paciente no domicilio. O custo do tratamento cirúrgico foi baseado na análise das [...]
Highlights
Basal cell carcinoma (BCC) is the most common type of periocular neoplasm, with an annual incidence of 10%.(1) In the periocular area, BCC currently represents 20% of all tumors and 90% of neoplasms.[2]
Immunotherapy with 5% imiquimod cream, has been widely tested and found to be efficacious in the treatment of BCC.(5-7)It is supposed to be costly, but an economic evaluation, with a cost-outcome analysis, is necessary to estimate the actual contribution of this procedure in skin cancer treatment, in comparison with the reference procedure, ie traditional surgical excIt is supposed to be costly, but an economic evaluation, with a cost-outcome analysis, is necessary to estimate the actual contribution of this procedure in skin cancer treatment, in comparison with the reference procedure, ie traditional surgical excision
Malignant eyelid tumors constitute an important part of clinical ophthalmology.At our institution, surgery is still the treatment of choice, except in patients with high surgical risk, multiple lesions or refusal to submit to surgery for aesthetic or psychological reasons
Summary
Basal cell carcinoma (BCC) is the most common type of periocular neoplasm, with an annual incidence of 10%.(1) In the periocular area, BCC currently represents 20% of all tumors and 90% of neoplasms.[2] The increasing incidence makes it urgent to evaluate treatment costs and financial impacts on public health system. Considered reliable and effective, surgical excision with safety margins, followed by primary reconstruction of the affected area, is the standard treatment for periocular BCC.(3) the periocular region is difficult to manage, requiring special surgical techniques to avoid damage to eyelid function. Few studies have compared the cost-effectiveness of surgical and clinical treatment for superficial BCC. Exceptions include a study on patients with BCC in the lower limbs[8] and a study comparing dermatological and non-dermatological services.(9) no previous study compared the cost of clinical and surgical treatment of BCC in the periocular area
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