Decision analysis was carried out to compare existing treatment policies for patients with nonseminomatous germ-cell testicular cancer (NSGCTC) in clinical stage I. Two conventional approaches, radical retroperitoneal lymph node dissection (RPLND) and radiotherapy (RT) of the retroperitoneal lymph nodes, were compared with the wait-and-see strategy. In the analysis, both mortality and morbidity were taken into account. The outcomes of the three approaches were quantified in quality-adjusted life years (QUALY). The assigned probabilities and utilities are varied over plausible ranges and the effect of these variations on the QUALY was investigated. The wait-and-see strategy was slightly preferable to the two conventional approaches. Decision analysis provides a good framework within which physicians, radiologists and surgeons can discuss their thoughts and treatment policies.
|Number of pages||9|
|State||Published - 1 Jan 1988|