How does upfront sialendoscopy compare to multiple modalities of diagnostic radiography along with medical management for diagnosis and therapy of radioiodine-induced sialadenitis (RAIS)?
Upfront sialendoscopy is more cost effective compared with medical management utilizing diagnostic ultrasound, assuming a willingness-to-pay threshold of $50,000. There is a clear cost effectiveness to using ultrasound with medical management over CT and MR sialography in the diagnosis and management of RAIS.
Explore this issue:October 2018
Background: RAIS is often a chronic, recurring condition that can present within days of treatment for thyroid conditions. Diagnosis is clinical and relies primarily on reported symptoms. Traditional management consists of medical therapy, over-the-counter sialagogues, and prescription medications. Sialendoscopy is a diagnosis and treatment alternative, but there has been no economic analysis to date.
Study design: Literature review and cost-effectiveness analysis.