Table 1. estimates of lifetime cost per incident patient by diagnosis.
Conditions | Surgical procedures and medical treatments | Direct cost per procedure or medical treatment | Compound Consumer Price Index rate Ŧ | Lifetime direct costs per incident patient (2011 Euro) | References |
a | B | a × b | |||
Cervical cancer | Management of primary tumor | € 13,122 | 110.60% | € 14,513 | [11] |
Discounted cost of progression/recurrence after 1 year | € 8,827 | 110.60% | € 9,763 | [11] | |
Lifetime cost per patient | € 21,950 | 110.60% | € 24,276 | ||
Cervical dysplasia | Repeated Pap smears | € 15 | 110.60% | € 17 | [15] |
Management of abnormal Pap smears | € 250 | 110.60% | € 277 | [15] | |
Diagnosis of cervical dysplasia | € 34 | 112.92% | € 38 | [12] | |
CIN 1 treatment | € 262 | 112.92% | € 296 | [12] | |
CIN2 treatment | € 1,439 | 112.92% | € 1,625 | [12] | |
CIN3 treatment | € 2,011 | 112.92% | € 2,271 | [12] | |
Anal cancer † | Diagnosis of malignancy | € 1,421 | 110.60% | € 1,572 | DRG 411 [22] |
Anal surgery | € 3,245 | 110.60% | € 3,589 | DRG 157 [22] | |
Radiotherapy | € 3,096 | 110.60% | € 3,424 | DRG 409 [22] | |
Minor reconstructive surgery | € 2,460 | 110.60% | € 2,720 | DRG 266 [22] | |
Follow-up clinical examination (×2) | € 21 | 110.60% | € 46 | Outpatient tariff 89.7 [23] | |
Follow-up 2-sector CT scan (×2) | € 88 | 110.60% | € 391 | Outpatient tariff 88.01.3 [23] | |
Lifetime cost per patient | € 11,742 | ||||
Head and neck cancer † | Diagnosis of head and neck malignancy | € 3,292 | 110.60% | € 3,641 | DRG 64 [22] |
Head and neck surgery | € 7,512 | 110.60% | € 8,308 | DRG 49 [22] | |
Radiotherapy | € 3,096 | 110.60% | € 3,424 | DRG 409 [22] | |
Minor reconstructive surgery | € 2,460 | 110.60% | € 2,720 | DRG 266 [22] | |
Follow-up clinical examination (×2) | € 21 | 110.60% | € 46 | Outpatient tariff 89.7 [23] | |
Follow-up 2-sector CT scan (×2) | € 83 | 110.60% | € 368 | Outpatient tariff 88.01.3 [23] | |
Lifetime cost per patient | € 18,507 | ||||
Vulvar cancer †† | Diagnosis of malignancy | € 1,421 | 110.60% | € 1,572 | DRG 411 [26] |
Minor vulvectomy | € 7,141 | 110.60% | € 7,898 | DRG 353 [26] | |
Radiotherapy | € 3,096 | 110.60% | € 3,424 | DRG 409 [26] | |
Follow-up clinical examination (×2) | € 21 | 110.60% | € 46 | Outpatient tariff 89.26 [27] | |
Follow-up 2-sector CT scan (×2) | € 88 | 110.60% | € 391 | Outpatient tariff 88.01.3 [27] | |
Lifetime cost per patient | € 13,330 | ||||
Vaginal cancer †† | Diagnosis of malignancy | € 1,421 | 110.60% | € 1,572 | DRG 411 [22] |
Vaginal surgery | € 6,736 | 110.60% | € 7,450 | DRG 354 [22] | |
Minor reconstructive surgery | € 2,734 | 110.60% | € 3,024 | DRG 356 [22] | |
Radiotherapy | € 3,096 | 110.60% | € 3,424 | DRG 409 [22] | |
Follow-up clinical examination (×2) | € 21 | 110.60% | € 46 | Outpatient tariff 89.26 [23] | |
Follow-up 2-sector CT scan (×2) | € 88 | 110.60% | € 391 | Outpatient tariff 88.01.3 [23] | |
Lifetime cost per patient | € 15,906 | ||||
Penile cancer ††† | Diagnosis of malignancy | € 1,421 | 110.60% | € 1,572 | DRG 411 [22] |
Surgery | € 4,173 | 110.60% | € 4,616 | DRG 344 [22] | |
Radiotherapy | € 3,096 | 110.60% | € 3,424 | DRG 409 [22] | |
Follow-up clinical examination (×2) | € 21 | 110.60% | € 46 | Outpatient tariff 89.7 [23] | |
Follow-up 2-sector CT scan (×2) | € 88 | 110.60% | € 391 | Outpatient tariff 88.01.3 [23] | |
Lifetime cost per patient | € 10,048 | ||||
Anogenital warts (women) | Direct outpatient costs for new patients | € 368 | 112.92% | € 416 | [19] |
Discounted cost of recurrence after 1 year (50.6% prob.) | € 176 | 112.92% | € 199 | [19] | |
Discounted cost of resistance after 1 year (28.2% prob.) | € 43 | 112.92% | € 48 | [19] | |
Lifetime cost per female patient | € 587 | 112.92% | € 663 | [19] | |
Anogenital warts (men) | Direct outpatient costs for new patients | € 275 | 112.92% | € 311 | [19] |
Discounted cost of recurrence after 1 year (34.8% prob.) | € 59 | 112.92% | € 66 | [19] | |
Discounted cost of resistance after 1 year (38.5% prob.) | € 82 | 112.92% | € 92 | [19] | |
Lifetime cost per male patient | € 416 | 112.92% | € 470 | ||
RRP ‡, †††† | Management of complicated throat infection | € 5,930 | 110.60% | € 6,559 | DRG 79 [22] |
Acute clinical treatment of throat infection (×3) | € 7,006 | 110.60% | € 23,246 | DRG 76 [22] | |
Minor throat surgery (×4.4) | € 3,263 | 110.60% | € 15,878 | DRG 63 [22] | |
Tracheostomy (11% rate) | € 9,040 | 110.60% | € 1,100 | DRG 75 [22] | |
Annual cost per patient | € 46,783 | ||||
Lifetime cost per patient | € 187,428 |
Ŧ. Costs have been adjusted for inflation at 2011 values using compound annual Italian National Consumer Price Indexes (ISTAT reference) from 2005 (112.92%) or 2006 (110.6%).
. Surgical procedures and medical treatments were modelled on the basis of the Italian AIOM guidelines [16].
. Surgical procedures and medical treatments were modelled on the basis of the Italian SIGO guidelines [17].
. Surgical procedures and medical treatments were modelled on the basis of the Italian AIRC guidelines [18.].
Respiratory recurrent papillomatosis (RRP).