This study analyses costs and effects of treating @entity5513 @entity1 by using microsurgery compared to radiosurgery. Radiosurgery is the stereotactic application of radiotherapy and an innovative medical technology. Cost and effect estimates of conventional treatment were based on a retrospective study in the Netherlands. Similar data for a comparable group of @entity1 in Sweden were collected for radiosurgery, as this treatment option is currently not available in the Netherlands. Fifty-three @entity5513 @entity1 who had been operated on the University Hospital Rotterdam between November 1990 and February 1995 were included. This group was compared with 92 @entity5513 @entity1 treated with radiosurgery (Gamma Knife. Stockholm, Sweden) in the same period. Data on health care use were collected from @entity1 files. To obtain data on production losses and quality of life, a questionnaire was sent by mail in February 1995. This booklet consisted of the Health and Labour-questionnaire (HLQ), the Short Form-36 (SF36) and the EuroQol. The response rate was 92%. Direct costs for microsurgery amounted to Dfl. 20.072,- and for radiosurgery to Dfl. 14.272,-. Indirect costs were respectively Dfl. 16.400,- and Dfl. 1.020,-. General health rating was better for radiosurgery than for microsurgery. On the whole, differences in clinical outcomes between the two @entity1 groups were small. Assuming a reasonable occupancy rate of the expensive radiosurgery equipment, we demonstrated that for the short term treating @entity1 with @entity5513 with an @entity5 diameter of less than 3 centimeters, radiosurgery is more cost-effective than microsurgery.

Costs and effects of microsurgery versus radiosurgery in treating XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5513 :: ('MESH:D009464', 'Disease') :: ['acoustic neuroma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['extra-meatal tumour']
@entity5513 :: (MESH:D009464,Disease) :: ['acoustic neuroma']
