Cost-effectiveness of POLE testing for high intermediate risk endometrial cancer

Gynecologic Oncology, 2023

The Cancer Genome Atlas identified four subtypes of endometrial cancer, and patients with DNA polymerase epsilon (POLE) ultramutated tumors have an improved prognosis. The high intermediate-risk subtype of endometrial cancer is a heterogenous group, and the patients with POLE in this group may benefit from surveillance instead of vaginal brachytherapy. This study sought to determine the cost-effectiveness of POLE testing in patients with stage I high intermediate-risk endometrial cancer.