We describe a retrospective and comparative assessment of the medical care of breast cancer among women in a French comprehensive cancer center, the Centre Claudius Regaud. There was no significant difference for the clinical results between two cohorts of women, treated in 1975 and 1985 respectively, for equivalent stages of disease. The overall increase in survival resulted mainly from early diagnosis. Locoregional treatment cost and conservative treatment cost, from official Social Security costs, did not increase between the two periods. However, a high risk of metastasis risk during the first treatment, or recurrence during the follow-up, resulted in differences in cost-effectiveness between 1975 and 1985. Although these results must be interpreted with caution, this analysis raises strategic questions about the suitability of some medical practices, particularly in the care of evolutive neoplasm.

Aged↗

PubMed1993

Results and cost of orthotopic liver transplantation for alcoholic cirrhosis.

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Costs and Cost Analysis↗

PubMedDate not supplied

[Hospital costs: results of empirical studies].

The DRG hospital payment system will be introduced in France in 1993-94 under the name of GHM ("groupes homogènes de malades"). However the method for evaluating costs is mainly based on past trends and, as a matter of fact, they exclude innovative care behavior from the doctors. Three new methods are therefore experimented: (i) standardized operation protocols; (ii) observation of consumed products and time of health personnel; (iii) observation of the costs resulting from the tariffs of the Social Security administration. The empirical studies were carried out in Montpellier and Nantes, two middle size cities of France.

Breast Neoplasms↗