PMID- 22828818
OWN - NLM
STAT- MEDLINE
DCOM- 20120903
LR  - 20141212
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 42
IP  - 2
DP  - 2012 Jun
TI  - A cost-analysis case study of radiation cystitis treatment including hyperbaric 
      oxygen therapy.
PG  - 92-7
AB  - AIM: To undertake an economic analysis of the direct costs of treating radiation 
      cystitis from a purchaser perspective, comparing conservative, non-operative and 
      surgical interventions with hyperbaric oxygen treatment (HBOT). METHODS: A male 
      in his 60s with prostatic carcinoma consented to this study. Full details of 
      treatment costs in AUD were obtained (AUD 1.0, approx. EUR 0.6). A detailed 
      patient diary accurately cross-referenced the consultations, investigations, 
      admissions and treatment. Costs were recorded on a spreadsheet, dated and grouped 
      under eight major headings related to treatment. Costs were compared for 
      radiation cystitis treatment pre- and post-HBOT, to calculate savings or losses. 
      RESULTS: The study covered three years (including 2.5 years post successful 
      HBOT). Costs prior to HBOT (139 days) were AUD32,571.42 at an average of 
      AUD231.09 per day, 70% from inpatient fees. Direct HBOT costs were AUD12,014.95 
      for 38 treatments, AUD316.18 per treatment. Post-HBOT (897 days), healthcare 
      costs were AUD17,113.42 (AUD19.08 per day), with no emergency admissions. HBOT 
      reduced costs of inpatient admissions, consultations, investigations and 
      procedures and provided a projected healthcare saving of AUD187,483.96 over a 2.5 
      year follow up. CONCLUSIONS: The cost of HBOT compared favourably against other 
      costs, and HBOT may provide major health cost savings in this condition. There 
      are significant hidden costs associated with radiation cystitis, not apparent to 
      health funders, because the reasons for admissions and procedures are not easily 
      captured with current information systems.
FAU - Smart, David
AU  - Smart D
AD  - University of Tasmania, Tasmania, Australia. david.smart@dhhs.tas.gov.au
FAU - Wallington, Margaret
AU  - Wallington M
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Costs and Cost Analysis
MH  - Cystitis/economics/*therapy
MH  - Health Care Costs
MH  - Humans
MH  - Hyperbaric Oxygenation/*economics
MH  - Male
MH  - Prostatic Neoplasms/radiotherapy
MH  - Radiation Injuries/economics/*therapy
EDAT- 2012/07/26 06:00
MHDA- 2012/09/04 06:00
CRDT- 2012/07/26 06:00
PHST- 2011/09/01 00:00 [received]
PHST- 2012/04/10 00:00 [accepted]
PHST- 2012/07/26 06:00 [entrez]
PHST- 2012/07/26 06:00 [pubmed]
PHST- 2012/09/04 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2012 Jun;42(2):92-7.