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Table 5 Cost of health care services for diagnosis, staging, treatment and follow-up of lung cancer

From: Is chest X-ray screening for lung cancer in smokers cost-effective? Evidence from a population-based study in Italy

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  
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  
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  
 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 (1 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  
  1. Source of information about cost is indicated
  2. NSCLC non-small cell lung cancer, SCLC small cell lung cancer, BRL Bulletin of Region Lombardy, CT computed tomography, CXR chest X-ray, EKG electrocardiogram, LC lung cancer