Table 3.
Full cost breakdown calculated based on financial data captured through the hospital financial database
| Cost breakdown per patient | Luminal A (US$) | Luminal B (US$) | Triple negative (US$) | HER2-enriched (US$) | ||||||||||
| A | B | C | D | E | F | G | H | I | J | K | L | M | N | |
| Classical diagnosing—triple assessment | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 | 1005 |
| Prepping | ||||||||||||||
| Sentinel node scan | 115 | 115 | 115 | 115 | 115 | 115 | 115 | – | – | 115 | 115 | – | 115 | 115 |
| Tumour localisation | 425 | 425 | 425 | – | 425 | 425 | 425 | – | – | 425 | 425 | – | 425 | 425 |
| Prepping cost | 540 | 540 | 540 | 540 | 540 | 540 | 540 | – | – | 540 | 540 | – | 540 | 540 |
| Intervention | ||||||||||||||
| Surgery | 1698 | 1698 | 1698 | 611 | 1698 | 1698 | 1698 | 611 | 611 | 2661 | 1344 | 713 | 2661 | 1698 |
| Frozen section testing | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 | 63 |
| Pathology testing | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 | 495 |
| Adjuvant chemotherapy | – | – | – | 16 118 | – | – | – | – | – | 16 118 | – | – | 16 712 | 16 712 |
| Adjuvant hormonal therapy | 1095 | 2178 | 2178 | 2178 | 2178 | 2178 | 2178 | 2178 | 547 | 547 | – | 2178 | 2178 | – |
| Adjuvant radiation therapy | 6934 | – | 6934 | 5662 | 4159 | 6934 | 6934 | 5662 | 5662 | 5662 | 6111 | 5662 | – | 6111 |
| Adjuvant Herceptin | – | – | – | – | – | – | – | – | 14 587 | – | – | 14 587 | 16 403 | 14 587 |
| Intervention costs | 10 286 | 4434 | 11 368 | 25 127 | 8593 | 11 368 | 11 368 | 9009 | 21 965 | 25 546 | 8013 | 23 697 | 38 512 | 39 666 |
| Additional hospital expenses | ||||||||||||||
| Consultations | 311 | 350 | 311 | 311 | 311 | 311 | 311 | 311 | 350 | 350 | 311 | 350 | 311 | 311 |
| Multidisciplinary team meetings | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 | 201 |
| 1 day ward stay | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 | 1161 |
| Additional hospital-related costs | 1673 | 1712 | 1673 | 1673 | 1673 | 1673 | 1673 | 1673 | 1712 | 1712 | 1673 | 1712 | 1673 | 1673 |
| Optional activities | ||||||||||||||
| Further imaging | 566 | 678 | 566 | 678 | 566 | 566 | 566 | 566 | 678 | 566 | 566 | 566 | 566 | 566 |
| Additional CT scan | – | – | – | 510 | – | 510 | 510 | 510 | – | 510 | – | – | – | – |
| MRI scan | 674 | 674 | 674 | 674 | – | 674 | 674 | 674 | 674 | 674 | 674 | – | – | – |
| Optional activities costs | 1240 | 1352 | 1240 | 1861 | 566 | 1749 | 1749 | 1749 | 1352 | 1749 | 1240 | 566 | 566 | 566 |
| Prepping—neoadjuvant therapy | ||||||||||||||
| Neoadjuvant chemotherapy | – | – | – | – | – | – | – | – | 16 712 | – | 13 106 | 16 712 | – | – |
| Neoadjuvant hormonal therapy | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
| Neoadjuvant Herceptin | – | – | – | – | – | – | – | – | 1816 | – | – | 1816 | – | – |
| Additional MRI scans | – | – | – | – | – | – | – | – | 1347 | – | 1347 | 1347 | – | – |
| Cost of neoadjuvant therapy | – | – | – | – | – | – | – | – | 19 875 | – | 14 453 | 19 875 | – | – |
| Surgery intervention | ||||||||||||||
| Axillary dissection | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
| Additional surgery | – | 2165 | – | – | – | – | – | – | – | 2165 | – | – | – | – |
| Total cost | 14 743 | 11 208 | 15 825 | 29 780 | 12 376 | 16 335 | 16 335 | 13 435 | 45 908 | 32 717 | 26 923 | 46 855 | 42 296 | 43.45 |
These numbers can also be translated into euros at the currency rate of US$1/€0.88.