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Perspective was the United States third party payer. Costs and effects were discounted at a rate of 3.5%. A threshold and probabilistic sensitivity analysis were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TORS strategy cost $30,992 and provided 4.81 QALYs\/patient. The IMRT strategy cost $26,033 and provided a total of 4.78 QALYs\/patient. The incremental cost effectiveness ratio for TORS vs. IMRT in the reference case was $165,300\/QALY. The probability that TORS is cost\u2010effective compared to IMRT at a maximum willingness\u2010to\u2010pay threshold of $50,000\/QALY is 42%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      An IMRT strategy for management of early stage OPSCC is more likely to be cost\u2010effective compared to TORS. To improve the value of TORS for early stage OPSCC, consolidating TORS procedures to create high\u2010volume centers of excellence may be a potential strategy to increase incremental effectiveness and reduce incremental costs.\n                      <jats:italic>J. Surg. Oncol. 2015 111:155\u2013163<\/jats:italic>\n                      . \u00a9 2015 Wiley Periodicals, Inc.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.23974","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T09:11:48Z","timestamp":1436865108000},"page":"155-163","source":"Crossref","is-referenced-by-count":40,"title":["Making a case for high\u2010volume robotic surgery centers: A cost\u2010effectiveness analysis of transoral robotic surgery"],"prefix":"10.1002","volume":"112","author":[{"given":"Luke","family":"Rudmik","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Department of Surgery University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyi","family":"An","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of Calgary Calgary Alberta 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