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- W2059154983 abstract "Abstract The requirement for a certificate-of-need for capital expenditures of $100,000 or more has placed a major constraint on purchases of new medical equipment. Consideration of a “first principles” argument has not proven compelling to the planning agencies in justifying the purchase of a radiation therapy simulator. Thus a strategy based on cost-effectiveness and the consequences of survival in successfully treated patients is proposed for equipment justification. We have reviewed the records of 18-month survivors among patients with lung cancer that were treated by irradiation; we observed 3 spinal cord injuries in non-simulated patients, whereas none were observed in patients who had the benefit of simulation. Considering the societal costs of spinal cord injury, a cost-benefit analysis of a simulator justifies the expense of this equipment." @default.
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- W2059154983 date "1979-02-01" @default.
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- W2059154983 title "The cost effectiveness of a radiation therapy simulator: A model for the determination of need" @default.
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- W2059154983 doi "https://doi.org/10.1016/0360-3016(79)90726-0" @default.
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