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. 2023 Feb 14;115(2):83–89. doi: 10.32074/1591-951X-837

Table III.

Results-cost description per NSCLC sample and patient (€ 2019).

Step 1 - Pre-analysis Step 2 - Analysis - Staining Step 3 - Analysis - Molecular Step 4 - Finalization and medical reporting Total cost per sample Total cost per patient
Direct costs (%)
Practical nurse € 0.28 (0.39%) - - - € 0.28 (0.04%) € 0.48 (0.04%)
Administrative clerk € 1.05 (1.46%) - - - € 1.05 (0.20%) € 1.80 (0.20%)
Laborarory technician € 42.29 (58.83%) € 22.40 (12.04%) - € 48.08 (29.56%) € 112.77 (17.09%) € 193.93 (17.09%)
Graduated technician - € 5.63 (3.03%) € 23.48 (16.06%) - € 29.11 (4.41%) € 50.06 (4.41%)
Biologist - - € 66.61 (20.56%) € 15.41 (9.47%) € 82.02 (12.43%) € 141.05 (12.43%)
Pathologist € 6.41 (8.91%) - - € 64.90 (39.90%) € 71.30 (10.81%) € 122.62 (10.81%)
Biocassettes € 0.88 (1.23%) - - - € 0.88 (0.13%) € 1.52 (0.13%)
Slides € 0.26 (0.37%) € 0.75 (0.40%) - - € 1.01 (0.15%) € 1.74 (0.15%)
H&E reagent - € 0.41 (0.22%) - - € 0.41 (0.06%) € 0.71 (0.06%)
IHC staining reagent - € 7.96 (4.28%) - - € 7.96 (1.21%) € 13.68 (1.21%)
Predictive IHC staining reagent - € 72.44 (38.93%) - - € 72.44 (10.98%) € 124.58 (10.98%)
FISH stainers - € 32.11 (17.26%) - - € 32.11 (4.87%) € 55.23 (4.87%)
Special staining reagent + equipment - € 0.01 (0.01%) - - € 0.01 (0.002%) € 0.02 (0.002%)
Reagent + equipment - - € 96.22 (40.24%) - € 96.22 (14.58%) € 165.46 (14.58%)
Other reagents (formaline; alcool) - - € 5.00 (2.09%) - € 5.00 (0.76%) € 8.60 (0.76%)
Total direct cost (A) € 51.17 (71.18%) € 141.72 (76.16%) € 191.31 (80.00%) € 128.39 (78.93%) € 512.58 (77.69%) € 881.48 (77.69%)
Indirect costs (%)
Biocassette printers € 1.43 (1.99%) - - - € 1.43 (0.22%) € 2.46 (0.22%)
Sampler and citology hoods € 0.66 (0.92%) - - - € 0.66 (0.10%) € 1.14 (0.10%)
Cytocentrifuges € 0.26 (0.37%) - - - € 0.26 (0.04%) € 0.46 (0.04%)
Tissue processors € 1.17 (1.62%) - - - € 1.17 (0.18%) € 2.01 (0.18%)
Tissue embedding systems € 0.57 (0.79%) - - - € 0.57 (0.09%) € 0.98 (0.09%)
Microtome systems € 2.25 (3.13%) - - - € 2.25 (0.34%) € 3.87 (0.34%)
H&E stainers - € 1.16 (0.62%) - - € 1.16 (0.18%) € 1.99 (0.18%)
IHC stainers - € 5.99 (3.22%) - - € 5.99 (0.91%) € 10.30 (0.91%)
Microscope - - - € 1.75 (1.07%) € 1.75 (0.27%) € 3.01 (0.27%)
Total indirect cost (B) € 6.34 (8.82%) € 7.15 (3.84%) € 0.00 (0.00%) € 1.75 (1.07%) € 15.24 (2.31%) € 26.21(2.31%)
Overall (A) + (B) € 57.51 (80.00%) € 148.87 (80.00%) € 191.31 (80.00%) € 130.13 (80.00%) € 527.81 (80.00%) € 907.69 (80.00%)
Overheads a € 14.38 (20.00%) € 37.22 (20.00%) € 47.83 (20.00%) € 32.54 (20.00%) € 131.95 (20.00%) € 226.92 (20.00%)
Overall + overheads € 71.88 (100.00%) € 186.08 (100.00%) € 239.13 (100.00%) € 162.67 (100.00%) € 659.77 (100.00%) € 1134.61 (100.00%)

a Overheads = [(A+B)*125%]-(A + B).