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Comparison of cost-efficacy

Cost analysis from US department based on 221 APBI pts matched with 199

WBI pts

Techniques compared:

3D CRT (no boost), IMRT WBI (no boost), APBI 3D CRT, APBI IMRT, APBI

Single lumen, APBI Multi lumen, APBI interstitial

Assumptions: 40 miles distance, 2 h per treatment, pt goes to work between

twice daily RT, cost to follow up not included, WBI based on 28 fr, the model

includes cost of local/regional/distant failure, cost of morbidity not included

Shah et al, Breast Can Res Treat, 2013