The economic and workload impact of 'backdoor' prostate-specific antigen screening on the UK National Health Service: a single-centre experience
The economic and workload impact of 'backdoor' prostate-specific antigen screening on the UK National Health Service: a single-centre experience
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DOI：
10.1111/j.1464-410x.2007.07311.x
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发表时间：
2008-02-01
影响因子：
4.5
通讯作者：
Blades, Rosemary A.
中科院分区：
文献类型：
--
作者：
Chelladurai, Arputharaj J.;Gunendran, Thiru;Blades, Rosemary A.
目的确定经济负担和额外费用在英国国家卫生服务二级前列腺特异性抗原筛查的一家私人招聘公司的临床drug trial.Patients和方法的数据进行了审查，从所有患者谁被排除在试验中，并提到了招聘公司在2004年5月和2005年4月之间。他们所有的调查和treatmentcounted.Results的额外费用有87介入程序（经直肠前列腺活检，根治性前列腺切除术和根治性放疗），27诊断扫描（磁共振成像和骨扫描）和240额外的门诊访问（新的和后续）超过1年的时间。计算出的成本约为271磅500。结论这项研究突出了显着增加的工作量和财政负担，在一个中心在英国国家卫生服务。许多其他医院可能处于类似的情况，卫生服务的总成本将大得多。
OBJECTIVE 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.PATIENTS AND METHODS 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.RESULTS 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 271 pound 500.CONCLUSION 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.