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. 2012 Nov 21;7(11):e49699. doi: 10.1371/journal.pone.0049699

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).

††††

. Due to the lack of Italian data on RRP, surgical procedures and medical treatments were informed on the basis of U.S. data [20], [21].