Table 1 Aggregated cost data used in the model of cervical screening in Australia, 2010 (see Additional file 1 for associated cost items)
From: Expenditure and resource utilisation for cervical screening in Australia
Cost item | Calculated aggregated cost in 2010 | Itemised costs contained in the aggregated cost | Data sources |
|---|---|---|---|
Cost of screening with cytology test | |||
Having a cytology test alone (including $19.60 for cytology test) | $58.05 | A weighted average cost of consultation, a cost of cytology test and a PEI | |
Having a cytology test after an unsatisfactory test | $67.23 | An average cost of consultation, a cost of cytology test and a PEI | MBS online database 2010 [24] |
Cost of abnormal cytology follow-up | |||
Abnormal cytology test result consultation and gynaecologist referral | $39.38 | An average cost of consultation | |
Having a colposcopy without biopsy | $143.75 | A cost of specialist consultation and a colposcopy | MBS online database 2010 [24] |
Having a colposcopy with biopsy | $295.98 | A cost of specialist consultation, a colposcopy, a biopsy and PEI | MBS online database 2010 [24] |
Having a colposcopy without biopsy (with a cytology sample taken) | $171.60 | A cost of specialist consultation, a colposcopy, a cytology test and a PEI | MBS online database 2010 [24] |
Having a colposcopy with biopsy (with a cytology sample taken) | $315.58 | A cost of specialist consultation, a colposcopy, a biopsy, a cytology and PEI | MBS online database 2010 [24] |
Cost of treating a precancerous lesions and follow-up women treated for CIN2/3 | |||
Treatment for precancerous lesions | $1,263.23 | A weighted average cost of various high-grade lesions treatment procedures including ablation therapy, excision therapy and hysterectomy | |
Follow-up for women treated for CIN 2/3 at 4–6 months after treatment (using cytology test and colposcopy) | $130.65 | A cost of specialist consultation, a cytology, a colposcopy and PEI | MBS online database 2010 [24] |
Follow-up for women treated for CIN 2/3 at 12/24 months after treatment (using cytology test and HCII) | $131.23 | A weighted average cost of consultation, a cytology, a HPV testing and PEI | MBS online database 2010 [24] |
Cost of work–up for cancer diagnosis | |||
Localised cancer | $1,820.98 | A weighted average cost of various cancer work-up diagnosis procedures including colposcopy, chest x-ray, CT scan, PET scan, MRI, bone scan and cystoscopy. | MBS online database 2010 [24], DRG [25] and expert opinions [14, 16] |
Regional cancer | $2,007.69 | ||
Distant cancer | $1,979.24 | ||
Cost of cancer treatments †| |||
Localised cancer treatment | $13,115.93 | A weighted average cost of surgical (conisation, hysterectomy, radical hysterectomy and exenteration) and non surgical treatments (radiationtheraphy, adjuvant radiation therapy and chemo-radiation) received by cancer patients. | MBS online database 2010 [24], DRG [25], and expert opinions [14, 16] |
Regional cancer treatment | $32,048.22 | ||
Distant cancer treatment | $24,250.30 | ||
Terminal care | $24,250.30 | Assumption | |