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National Collaborating Centre for Primary Care (UK). Familial Breast Cancer: The Classification and Care of Women at Risk of Familial Breast Cancer in Primary, Secondary and Tertiary Care: Update [Internet]. London: Royal College of General Practitioners (UK); 2006 Jul. (NICE Clinical Guidelines, No. 41.)

Cover of Familial Breast Cancer

Familial Breast Cancer: The Classification and Care of Women at Risk of Familial Breast Cancer in Primary, Secondary and Tertiary Care: Update [Internet].

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Appendix 3Unit costs

Table 23Major Costs in the Model

InterventionType of costCost (£)Source
MRI scanUnit224NHS Reference Costs 2004
MammographyUnit33.5MARIBS economic evaluation
Ultrasound scanUnit48.8MARIBS economic evaluation
BiopsyUnit176MARIBS economic evaluation
MR-guided biopsyUnit955MARIBS economic evaluation
ChemotherapyUnit922NHS Reference Costs 2004
Wide local excisionUnit984NHS Reference Costs 2004*
MastectomyUnit2 058MARIBS economic evaluation
Tamoxifen1 year (20mg daily)29.08British National Formulary cost
*

It should be noted that no identified source of information on the cost of wide local excision was identified. Therefore, it was assumed that it entailed a comparable resource use to a surgical biopsy. It should be noted that the importance of this assumption is highly limited (as shown in the univariate sensitivity analysis) since the treatment costs approximately balance between the cohorts in different screening programmes.

It should be noted that no identified source of information on the cost of wide local excision was identified. Therefore, it was assumed that it entailed a comparable resource use to a surgical biopsy. It should be noted that the importance of this assumption is highly limited (as shown in the univariate sensitivity analysis) since the treatment costs approximately balance between the cohorts in different screening programmes.

Copyright © 2006, National Collaborating Centre for Primary Care.
Bookshelf ID: NBK65585
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Original Guideline