TABLE 18Recurrent model costs

ItemRecurrent rectal modelRecurrent colon modelData source
Unit cost (£)Standard error (£)Probabilistic distributionUnit cost (£)Standard error (£)Probabilistic distribution
Imaging devices
 Contrast-enhanced CT scan (chest, abdomen, pelvis)14322Normal14322NormalDoH reference costs 2009100
 MRI scan (pelvis)17924NormalDoH reference costs 2009100
 FDG PET/CT scan800100Normal800100NormalDoH 2005,152 NCRI 2007153
Treatments
 Local surgery (rectal excision with lymphadenectomy): includes cost of the distal procedure (including surgical consultation, theatre time, staff costs), inpatient stay in hospital for average 6 days and surgical follow-up consultation5637677NormalDoH reference costs 2009,100 PSSRU 2009101
 Local surgery (colonic resection with lymphadenectomy): includes cost of the proximal colon procedure (including surgical consultation, theatre time, staff costs), inpatient stay in hospital for average 6 days and surgical follow-up consultation5893746NormalDoH reference costs 2009,100 PSSRU 2009101
 Long-course CRT [includes 25 fractions of radiotherapy over 5 weeks combined with 3 months' chemotherapy (5FU)]: includes cost of radiotherapy and chemotherapy drugs, administration and hospital stay13,721BNF 58,99 ISD 2009,151 Cancer Research UK,154 Royal College of Radiologists 200622 and 2008155
 Adjuvant chemotherapy (6-month course post surgery; intravenous 5FU + oxaliplatin for 24 weeks: 12 × 2-weekly cycles): includes cost of chemotherapy drugs, administration and hospital stay11,53211,532BNF 58,99 ISD 2009,151 Cancer Research UK154
 Palliative care: average NHS cost per person for CRC palliative care; cost adjusted to price year 2008/9 using HCHS pay and price index1012468494Normal2468494NormalGuest et al. 2006124
 Metastatic surgery (surgical specialities in medical oncology): inpatient cost per case, including surgical consultation, theatre time, staff costs and an average 10-day inpatient stay91341827Normal91341827NormalISD 2009151

5FU, 5-fluorouracil; BNF, British National Formulary; DoH, Department of Health; HCHS, hospital and community health services; ISD, Information Services Division; NCRI, National Cancer Research Institute.

From: 10, Economic evaluation

Cover of The Value of FDG Positron Emission Tomography/Computerised Tomography (PET/CT) in Pre-Operative Staging of Colorectal Cancer: A Systematic Review and Economic Evaluation
The Value of FDG Positron Emission Tomography/Computerised Tomography (PET/CT) in Pre-Operative Staging of Colorectal Cancer: A Systematic Review and Economic Evaluation.
Health Technology Assessment, No. 15.35.
Brush J, Boyd K, Chappell F, et al.
Southampton (UK): NIHR Journals Library; 2011 Sep.
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