Table 5 Cost of health care services for diagnosis, staging, treatment and follow-up of lung cancer
Cost components | Unitary cost (EURO 2012) | Source |
|---|---|---|
Cyto-/histologic confirmation of NSCLC/SCLC | ||
 Bronchoscopy with biopsy | 184.74 | Tariff 2012 BRL |
 Cytology of sputum/pleural fluid | 27.45 | Tariff 2012 BRL |
 CT-guided fine needle aspirate and cytology | 160.99 | Tariff 2012 BRL |
 Day hospital stay | 624.00 | Tariff 2012 BRL |
Total | 997.18 | Â |
Evaluation of stage I–IV LC | ||
 Blood cells count, chemistry, markers, gases | 117.25 | Tariff 2012 BRL |
 EKG | 11.60 | Tariff 2012 BRL |
 CXR exam, dual projection | 17.40 | Tariff 2012 BRL |
 Chest CT without and with contrast | 164.67 | Tariff 2012 BRL |
 Abdomen CT without and with contrast | 168.37 | Tariff 2012 BRL |
 Head CT without and with contrast | 159.93 | Tariff 2012 BRL |
 Bone scintigraphy | 111.90 | Tariff 2012 BRL |
 Spirometry | 23.75 | Tariff 2012 BRL |
 Hospital stay (average 7 days) | 4160.00 | Tariff 2012 BRL |
Total | 4934.87 | Â |
Evaluation of indeterminate stage LC | ||
 Blood cells count, chemistry, markers, gases | 117.25 | Tariff 2012 BRL |
 EKG | 11.60 | Tariff 2012 BRL |
 CXR exam, dual projection | 17.40 | Tariff 2012 BRL |
 Chest CT without and with contrast | 164.67 | Tariff 2012 BRL |
 Abdomen CT without and with contrast | 168.37 | Tariff 2012 BRL |
 Head CT without and with contrast | 159.93 | Tariff 2012 BRL |
 Hospital stay (average 4 days) | 2496.00 | Tariff 2012 BRL |
Total | 3135.22 | Â |
 Operating room occupancy (average 180 min.) | 3000.00 | Varese Hospital Admin. |
 Operating room materials | 1500.00 | Varese Hospital Admin. |
 Hospital stay in surgical unit (average 12 days) | 6600.00 | Varese Hospital Admin. |
 Total | 11,100.00 |  |
Chemotherapy for LC stage III | ||
 6 Cycles (Cisplatin + Gemcitabine) | 8989.62 | Oncology Unit Varese Hospital |
Chemotherapy for LC stage IV | ||
 3 Cycles (Cisplatin + Gemcitabine) | 4494.81 | Oncology Unit Varese Hospital |
Palliative radiotherapy | 4934.55 | Radiotherapy Unit Varese Hosp. |
Radical radiotherapy (50–60 Gy) | 7849.46 | Radiotherapy Unit Varese Hosp |
Chemo-Radiotherapy combined | 10,091.03 | Onc./Radiot.Units Varese Hosp. |
Supportive/palliative therapy | 2759.76 | Tariff 2012 BRL |
Terminal phase care (1Â month) | 1800.00 | Tariff 2012 BRL |
Follow-up: first year | ||
 3 Physical exams | 74.10 | Tariff 2012 BRL |
 2 CXR exams, dual projection | 34.80 | Tariff 2012 BRL |
 2 Blood cells counts, chemistry, markers, gases | 234.50 | Tariff 2012 BRL |
 1 Chest CT exam without and with contrast | 164.67 | Tariff 2012 BRL |
 Total | 508.07 |  |
Follow-up: second year | ||
 2 Physical exams | 49.40 | Tariff 2012 BRL |
 1 CXR exam, dual projection | 17.40 | Tariff 2012 BRL |
 2 Blood cells counts, chemistry, markers, gases | 234.50 | Tariff 2012 BRL |
 1 Chest CT exam without and with contrast | 164.67 | Tariff 2012 BRL |
 Total | 465.97 |  |
Follow-up: third and subsequent years | ||
 2 Physical exams | 49.40 | Tariff 2012 BRL |
 1 Blood cells count, chemistry, markers, gases | 117.25 | Tariff 2012 BRL |
 1 Chest CT exam without and with contrast | 164.67 | Tariff 2012 BRL |
 Total | 331.32 |  |