Abstract
Cancer management includes surveillance of patients after treatment. Such programs become increasingly important since chances of survival after cancer treatment and, thus, disease-free survival rates are continuing to increase. Surveillance programs are also time-consuming and, in addition, a very expensive component of clinical activity since frequent testing is often involved. The choice of a surveillance program is complex and should ideally consider aspects of survival, quality of life, the burden of surveillance tests, and financial costs. As for all clinical decisions, the choice involves a condition of uncertainty. This uncertainty originates from relationships between diagnostic information and the presence of disease, uncertainty about the effects of early treatment, and ambiguity in clinical information [1].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Weinstein M, Fineberg H. Clinical decision analysis. Philadelphia: Saunders; 1980.
Brada M. Is there a need to follow-up cancer patients? Eur J Cancer. 1995;31A:655–7.
Dewar JA, Kerr GR. Value of routine follow up of women treated for early carcinoma of the breast. Br Med J (Clin Res Ed). 1985;291:1464–7.
Roselli Del Turco M, Palli D, Cariddi A, Ciatto S, Pacini P, Distante V. The efficacy of intensive follow-up testing in breast cancer cases. Ann Oncol. 1995;6 Suppl 2:37–9.
Rustin GJS, van der Burg MEL, Griffin CL, et al. Early versus delayed treatment of relapsed ovarian cancer (MRC OV05/EORTC 55955): a randomised trial. Lancet. 2010;376:1155–63.
Joseph E, Hyacinthe M, Lyman GH, et al. Evaluation of an intensive strategy for follow-up and surveillance of primary breast cancer. Ann Surg Oncol. 1998;5:522–8.
Warde P, Specht L, Horwich A, et al. Prognostic factors for relapse in stage I seminoma managed by surveillance: a pooled analysis. J Clin Oncol. 2002;20:4448–52.
Steyerberg EW. Clinical prediction models, a practical approach to development, validation, and updating. New York, NY: Springer; 2009.
Borie F, Combescure C, Daures JP, Tretarre B, Millat B. Cost-effectiveness of two follow-up strategies for curative resection of colorectal cancer: comparative study using a Markov model. World J Surg. 2004;28:563–9.
Kievit J, van de Velde CJ. Utility and cost of carcinoembryonic antigen monitoring in colon cancer follow-up evaluation. A Markov analysis. Cancer. 1990;65:2580–2.
Michel P, Merle V, Chiron A, et al. Postoperative management of stage II/III colon cancer: a decision analysis. Gastroenterology. 1999;117:784–93.
Park KC, Schwimmer J, Shepherd JE, et al. Decision analysis for the cost-effective management of recurrent colorectal cancer. Ann Surg. 2001;233:310–9.
Park SM, Kim SY, Earle CC, Jeong SY, Yun YH. What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea? World J Gastroenterol. 2009;15:3153–60.
Hassan C, Pickhardt PJ, Zullo A, et al. Cost-effectiveness of early colonoscopy surveillance after cancer resection. Dig Liver Dis. 2009;41:881–5.
de Bekker-Grob EW, van der Aa MNM, Zwarthoff EC, et al. Non-muscle invasive bladder cancer surveillance in which cystoscopy is partly replaced by microsatellite analysis on urine: a cost-effective alternative? (CEFUB-trial). BJU Int. 2009;104:41–7.
Lachaine J, Valiquette L, Crott R. Economic evaluation of NMP22 in the management of bladder cancer. Can J Urol. 2000;7:974–80.
Lotan Y, Roehrborn CG. Cost-effectiveness of a modified care protocol substituting bladder tumor markers for cystoscopy for the followup of patients with transitional cell carcinoma of the bladder: a decision analytical approach. J Urol. 2002;167:75–9.
Nam RK, Redelmeier DA, Spiess PE, Sampson HA, Fradet Y, Jewett MA. Comparison of molecular and conventional strategies for followup of superficial bladder cancer using decision analysis. J Urol. 2000;163:752–7.
Munro AJ, Warde PR. The use of a Markov process to simulate and assess follow-up policies for patients with malignant disease: surveillance for stage I nonseminomatous tumors of the testis. Med Decis Making. 1991;11:131–9.
Spermon JR, Hoffmann AL, Horenblas S, Verbeek AL, Witjes JA, Kiemeney LA. The efficacy of different follow-up strategies in clinical stage I non-seminomatous germ cell cancer: a Markov simulation study. Eur Urol. 2005;48:258–67; discussion 67–8.
Stiggelbout AM, Kiebert GM, de Haes JC, et al. Surveillance versus adjuvant chemotherapy in stage I non-seminomatous testicular cancer: a decision analysis. Eur J Cancer. 1996;32A:2267–74.
Hayman JA, Hillner BE, Harris JR, Weeks JC. Cost-effectiveness of routine radiation therapy following conservative surgery for early-stage breast cancer. J Clin Oncol. 1998;16:1022–9.
Jacobs HJ, van Dijck JA, de Kleijn EM, Kiemeney LA, Verbeek AL. Routine follow-up examinations in breast cancer patients have minimal impact on life expectancy: a simulation study. Ann Oncol. 2001;12:1107–13.
Lee JH, Glick HA, Hayman JA, Solin LJ. Decision-analytic model and cost-effectiveness evaluation of postmastectomy radiation therapy in high-risk premenopausal breast cancer patients. J Clin Oncol. 2002;20:2713–25.
Das P, Ng AK, Earle CC, Mauch PM, Kuntz KM. Computed tomography screening for lung cancer in Hodgkin’s lymphoma survivors: decision analysis and cost-effectiveness analysis. Ann Oncol. 2006;17:785–93.
Guadagnolo BA, Punglia RS, Kuntz KM, Mauch PM, Ng AK. Cost-effectiveness analysis of computerized tomography in the routine follow-up of patients after primary treatment for Hodgkin’s disease. J Clin Oncol. 2006;24:4116–22.
Hengge UR, Wallerand A, Stutzki A, Kockel N. Cost-effectiveness of reduced follow-up in malignant melanoma. J Dtsch Dermatol Ges. 2007;5:898–907.
Krug B, Crott R, Roch I, et al. Cost-effectiveness analysis of FDG PET-CT in the management of pulmonary metastases from malignant melanoma. Acta Oncol. 2010;49:192–200.
Kent MS, Korn P, Port JL, Lee PC, Altorki NK, Korst RJ. Cost effectiveness of chest computed tomography after lung cancer resection: a decision analysis model. Ann Thorac Surg. 2005;80:1215–22; discussion 1222–3.
van Loon J, Grutters JP, Wanders R, et al. 18FDG-PET-CT in the follow-up of non-small cell lung cancer patients after radical radiotherapy with or without chemotherapy: an economic evaluation. Eur J Cancer. 2010;46:110–9.
Ritoe SC, de Vegt F, Scheike IM, et al. Effect of routine follow-up after treatment for laryngeal cancer on life expectancy and mortality: results of a Markov model analysis. Cancer. 2007;109:239–47.
Hopkins ML, Coyle D, Le T, Fung MF, Wells G. Cancer antigen 125 in ovarian cancer surveillance: a decision analysis model. Curr Oncol. 2007;14:167–72.
Habbema JD, Bossuyt PM, Dippel DW, Marshall S, Hilden J. Analysing clinical decision analyses. Stat Med. 1990;9:1229–42.
Hunink M, Glasziou P. Decision making in health and medicine: integrating evidence and values. Cambridge, UK: Cambridge University Press; 2001.
Elkin EB, Vickers AJ, Kattan MW. Primer: using decision analysis to improve clinical decision making in urology. Nat Clin Pract Urol. 2006;3:439–48.
Torrance GW. Utility approach to measuring health-related quality of life. J Chronic Dis. 1987;40:593–603.
Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.
EuroQol-a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy. 1990;16:199–208.
Feeny D, Furlong W, Boyle M, Torrance GW. Multi-attribute health status classification systems. Health utilities index. Pharmacoeconomics. 1995;7:490–502.
Gold M, Siegel J, Russell L, Weinstein M. Cost-effectiveness in health and medicine. New York, NY: Oxford University Press; 1996.
Pauker SG, Kassirer JP. Therapeutic decision making: a cost-benefit analysis. N Engl J Med. 1975;293:229–34.
Sonnenberg FA, Beck JR. Markov models in medical decision making: a practical guide. Med Decis Making. 1993;13:322–38.
Beck JR, Pauker SG. The Markov process in medical prognosis. Med Decis Making. 1983;3:419–58.
Aebi S, Castiglione M, Group EGW. Newly and relapsed epithelial ovarian carcinoma: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol. 2009;20 Suppl 4:21–3.
Iagaru AH, Mittra ES, McDougall IR, Quon A, Gambhir SS. 18F-FDG PET/CT evaluation of patients with ovarian carcinoma. Nucl Med Commun. 2008;29:1046–51.
Greuter MJ, Jansen-van der Weide MC, Jacobi CE, et al. The validation of a simulation model incorporating radiation risk for mammography breast cancer screening in women with a hereditary-increased breast cancer risk. Eur J Cancer. 2010;46:495–504.
Heintz AP, Odicino F, Maisonneuve P, et al. Carcinoma of the ovary. FIGO 6th annual report on the results of treatment in gynecological cancer. Int J Gynaecol Obstet. 2006;95 Suppl 1:S161–92.
Rustin GJ, Nelstrop AE, Tuxen MK, Lambert HE. Defining progression of ovarian carcinoma during follow-up according to CA 125: a North Thames ovary group study. Ann Oncol. 1996;7:361–4.
Health Council of the Netherlands. Follow-up in oncology. Identify objectives, substantiate actions. The Hague: Health Council of the Netherlands; 2007.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Humana Press
About this chapter
Cite this chapter
van Kessel, K.E.M., Geurts, S.M.E., Verbeek, A.L.M., Steyerberg, E.W. (2013). Using Decision Analysis to Model Cancer Surveillance. In: Johnson, F., et al. Patient Surveillance After Cancer Treatment. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-969-7_3
Download citation
DOI: https://doi.org/10.1007/978-1-60327-969-7_3
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-60327-968-0
Online ISBN: 978-1-60327-969-7
eBook Packages: MedicineMedicine (R0)