Intensity-modulated radiotherapy (IMRT) - KCE

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Intensity-modulated radiotherapy (IMRT) - KCE

28 Intensity-modulated radiotherapy KCE reports 62

5.2.3 Conclusion

At present, no conclusive economic evaluation of the IMRT technique has been made.

As a result, no firm conclusion can be drawn on the cost-effectiveness of IMRT in

comparison to alternative health care interventions, in particular 3DCRT. Ideally, (direct

medical) cost and utility data would be collected within the wider framework of a

randomized controlled trial. In this respect, further full costing analyses, preferably

activity based, at hospital-level are a prerequisite necessity to establish the relative

financial impact with respect to the indirect costs of alternative radiotherapy techniques

in routine practice. It should, however, be stressed that prevailing reimbursement

schemes may prohibit the set-up of such a comparative design as IMRT may evolve into

a universally promoted standard before its incremental cost-effectiveness has been

established.

Key points

• No firm conclusion can be drawn on the cost-effectiveness of IMRT in

comparison to alternative interventions, in particular 3DCRT.

IMRT may evolve into a universally promoted standard before its

incremental cost-effectiveness has been established.

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