Alveolar echinococcosis: from a deadly disease to a well-controlled infection. Relative survival and economic analysis in Switzerland over the last 35 years

BACKGROUND/AIMS: Alveolar echinococcosis (AE) is a serious liver disease. The aim of this study was to explore the long-term prognosis of AE patients, the burden of this disease in Switzerland and the cost-effectiveness of treatment. METHODS: Relative survival analysis was undertaken using a national database with 329 patient records. 155 representative cases had sufficient details regarding treatment costs and patient outcome to estimate the financial implications and treatment costs of AE. RESULTS: For an average 54-year-old patient diagnosed with AE in 1970 the life expectancy was estimated to be reduced by 18.2 and 21.3 years for men and women, respectively. By 2005 this was reduced to approximately 3.5 and 2.6 years, respectively. Patients undergoing radical surgery had a better outcome, whereas the older patients had a poorer prognosis than the younger patients. Costs amount to approximately Euro108,762 per patient. Assuming the improved life expectancy of AE patients is due to modern treatment the cost per disability-adjusted life years (DALY) saved is approximately Euro6,032. CONCLUSIONS: Current treatments have substantially improved the prognosis of AE patients compared to the 1970s. The cost per DALY saved is low compared to the average national annual income. Hence, AE treatment is highly cost-effective in Switzerland.

Report on the Ermont Mine Sec. 35, T. 6 S., R. 11 W., Beaverhead County, Montana

An examination of the Ermont Mine was requested by the owners, Messrs. J. R. Bowles and R. B. Caswell, to determine the amount and grade of ore developed, the advisability of constructing a mill at the present time, and to recommend future development work.

The Technocrat - v. 35, no. 3

In this issue...Winter Break, Mining City Taxi, Pat Hansen, Oredigger football, volleyball, Petroleum Engineering, coffee, Professor Bryce Hill, surveillance

The Technocrat - v. 35, no. 2

In this issue...2014 Elections, native fish restoration, Ryan Zinke, John Lewis, Academic Center for Excellence, climate change, interpersonal communication, student opinion

The Technocrat - v. 35, no. 4

In this issue...Year in Photos, First Semester Experience, Building Butte, Social Security, Book Review, Patrick Rothfuss, Butte Silver-Bow, Charlie Oredigger, ASMT Safe Rides

The Technocrat - v. 35, no. 1

In this issue...movie review, Lady Diggers, collegiate volleyball, driverless cars, orientation, Montana Fish Wildlife and Parks, Mount Haggin, HPER, public lecture series

The Technocrat - v. 35, no. 5

In this issue...Martin Karplus, Noble Prize, Dodgeball Duel, President Obama, community college, Pintler mountains, cell phone evolution, Facebook, social media