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

Table SIII.

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

Item Professional Disposable Technology Total cost per
Time (hour) (A) Cost (hour) (B) Volume (C) Cost (unit) (D) Volume (E) Cost (year) (F) Samplea Patientb
Step 2 - Analysis - Staining
Substep 2a - H&E staining
Laboratory technician 0.05 € 27.28 - - - - € 0.66 c € 1.14
H&E stainers - - - - 144,586 d € 36,238.50 € 1.16 e € 1.99
Slides - - 4.63 € 0.04 - - € 0.19 € 0.33
H&E reagent - - 4.63 € 0.21 - - € 0.97 € 1.67
Total Substep 2a - Professional € 0.66 € 1.14
Total Substep 2a - Disposable € 1.16 € 1.99
Total Substep 2a - Technology € 1.16 € 1.99
Overall Substep 2a € 2.97 € 5.11
Substep 2b - IHC, FISH and Special stainings
Graduated technician (FISH staining only) 0.75 € 35.07 - - - - € 5.63 f € 9.68
Laboratory technician (FISH staining only) 0.40 € 27.28 - - - - € 2.34 f € 4.02
Laboratory technician (IHC and Special stainings) 0.05 € 27.28 - - - - € 3.34 f € 5.74
IHC stainers - - - - 66,732 g € 163,625 € 5.99 h € 10.30
IHC staining reagent - - 1 € 8.00 - - € 7.96 i € 13.69
Predictive IHC staining reagent - - 1 € 50.00 - - € 72.44 j € 124.58
FISH stainers - - 1 € 150.00 - - € 32.11 k € 55.22
Special staining reagent + equipment - - 1 € 4.00 - - € 0.01 l € 0.02
Total Substep 2b - Professional € 11.30 € 19.43
Total Substep 2b - Disposable € 112.52 € 193.50
Total Substep 2b - Technology € 5.99 € 10.30
Overall Substep 2b € 129.82 € 223.25
Substep 2c - Slides preparation
Laboratory technician 0.08 € 27.28 - - - - € 16.07 h € 27.64
Total Substep 2c - Professional € 16.07 € 27.64
Overall Substep 2c € 16.07 € 27.64
Total Step 2 - Professional € 28.03 € 48.20
Total Step 2 - Disposable € 113.68 € 195.50
Total Step 2 - Technology € 7.15 € 12.30
Overall Step 2 € 148.87 € 256.01

a Cost per sample=[(A*B)+(C*D)+(F/E)] unless otherwise stated.

b Cost per patient=[Cost per sample*(724/421)], where 724=number of NSCLC tissue samples and 421=number of NSCLC patients.

c Cost per sample=[(A*B)*(3351/724)], where 3351= number of NSCLC tissue slides undergoing H&E staining and 724=number of NSCLC tissue samples.

d Assuming that [(65%*222,440 slides)=144,586 slides undergo H&E staining.

e Cost per sample=[(F/E)*4.63], where 4.63=average number of slides per NSCLC H&E staining.

f Cost per sample=[(A*B)*(155/724)], where 155= number of FISH performed on NSCLC tissue slides and 724=number of NSCLS tissue samples.

g Assuming that (35%*222,440 slides)=66,732 slides undergo IHC, FISH and/or Special stainings.

h Cost per sample={(F/E)*[(720+1049)/724]}, where 720=number of NSCLC IHC slides, 1049=number of NSCLC predictive IHC slides and 724=number of NSCLC tissue samples.

i Cost per sample=[(C*D)*(1049/724)], where 1049=number of NSCLC predictive IHC slides and 724=number of NSCLC tissue samples.

j Cost per sample=[(C*D)*(720/724)], where 720=number of NSCLC IHC slides and 724=number of NSCLC tissue samples.

k Cost per sample=[(C*D)*(155/724)], where 155= number of FISH performed on NSCLC tissue slides and 724=number of NSCLS tissue samples.

l Cost per sample=[(C*D)*(2/724)], where 2= number of Special stainings performed on NSCLC tissue slides and 724=number of NSCLS tissue samples.

m Cost per sample=[(A*B)*(5120/724)], where 5120=number of NSCLC tissue slides and 724=number of NSCLC tissue samples.