title: [Valorisation of brachytherapy and medico-economic considerations].
abstract: Economic data in the literature for brachytherapy are still sparse and heterogeneous, with few controlled prospective studies and a perspective most often limited to those of the provider (health insurances). Moreover, these observation and conclusions are difficult to generalize in France. The prospective health economic studies performed in France in the framework of a national program to sustain innovative and costly therapies (STIC program) launched by the French cancer national institute are therefore of most importance. With the exception of prostate brachytherapy with permanent seeds, the valorisation of the brachytherapy activity by the French national health insurance does not take into account the degree of complexity and the real costs supported by health institutions (i.e. no specific valorisation for 3D image-based treatment planning and dose optimization and for the use of pulsed dose rate brachytherapy).
authors.affiliation: Département de radiothérapie, centre Léon-Bérard, 28, rue Laënnec, 69373 Lyon cedex 08, France. pascal.pommier@lyon.unicancer.fr
authors.forename: P
authors.initials: P
authors.lastname: Pommier
authors.forename: M
authors.initials: M
authors.lastname: Morelle
authors.forename: F
authors.initials: F
authors.lastname: Millet-Lagarde
authors.forename: D
authors.initials: D
authors.lastname: Peiffert
authors.forename: F
authors.initials: F
authors.lastname: Gomez
authors.forename: L
authors.initials: L
authors.lastname: Perrier
mesh_terms: D001918:Brachytherapy / Q000009:adverse effects / Q000191:economics*; D017281:Cost of Illness; D003365:Costs and Cost Analysis; D016527:Drug Costs; D005260:Female; D005602:France; D005833:Genital Neoplasms, Female / Q000191:economics / Q000532:radiotherapy; D014943:Global Health / Q000191:economics; D005102:Health Expenditures; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007457:Iodine Radioisotopes / Q000191:economics / Q000627:therapeutic use; D008297:Male; D009313:National Health Programs; D009369:Neoplasms / Q000191:economics / Q000532:radiotherapy; D011468:Prostatectomy / Q000191:economics; D011471:Prostatic Neoplasms / Q000191:economics / Q000532:radiotherapy; D011832:Radiation Injuries / Q000191:economics; D011874:Radiometry / Q000191:economics; D019275:Radiopharmaceuticals / Q000191:economics / Q000627:therapeutic use
chemical_list: D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals