The economic and workload impact of 'backdoor' prostate-specific antigen screening on the UK National Health Service: a single-centre experience

BJU International
Arputharaj J ChelladuraiRosemary A Blades

Abstract

To determine the economic burden and additional cost on one hospital within the UK National Health Service secondary to prostate-specific antigen screening by a private recruitment company for a clinical drug trial. Data were reviewed from all patients who were excluded from the trial and referred across by the recruitment company between May 2004 and April 2005. The additional cost for all their investigation and treatment was calculated. There were 87 interventional procedures (transrectal prostate biopsy, radical prostatectomy and radical radiotherapy), 27 diagnostic scans (magnetic resonance Imaging and bone scan) and 240 additional outpatient visits (new and follow-up) over the 1-year period. The calculated cost was approximately pound 271 500. This study highlights the significant increase in the workload and financial burden in one centre within the UK National Health Service. Many other hospitals are likely to be in a similar situation and the total cost to the health service will be much greater.

References

Jan 11, 2005·BJU International·Vijay K SangarRosie A Blades
Mar 15, 2005·BJU International·Jane MeliaJoan Austoker
Apr 23, 2005·BJU International·Ja Muir Gray
May 13, 2005·The New England Journal of Medicine·Anna Bill-AxelsonUNKNOWN Scandinavian Prostate Cancer Group Study No. 4
Jun 18, 2005·Physical Chemistry Chemical Physics : PCCP·Albert PegusAnthony J Stace
Jul 28, 2005·European Urology·G AusUNKNOWN European Association of Urology
Sep 8, 2005·The Journal of Urology·Patrick C Walsh

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Citations

Nov 12, 2009·British Journal of Cancer·E A M HeijnsdijkH J de Koning

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