A micro costing of NHS cancer genetic services
2005

Cost Analysis of Cancer Genetic Services in the UK

publication Evidence: moderate

Author Information

Author(s): Griffith G L, Tudor-Edwards R, Gray J, Butler R, Wilkinson C, Turner J, France B, Bennett P

Primary Institution: Centre for the Economics of Health, Institute of Medical and Social Care Research, University of Wales, Bangor

Hypothesis

What are the costs associated with cancer genetic counselling and testing protocols in the UK?

Conclusion

The cost of providing cancer genetic services to patients at increased risk of developing breast, ovarian, breast ovarian, or colorectal cancer is substantial, particularly for high-risk presymptomatic patients.

Supporting Evidence

  • The mean cost per patient ranged from £97 to £3,072 depending on risk level.
  • Labour costs were the most significant component of the overall costs.
  • Costs varied based on the type of cancer and the complexity of the case.

Takeaway

This study looked at how much it costs to help people who might get certain types of cancer because of their family history. It found that the most expensive part is paying the staff who help these patients.

Methodology

Costs were estimated by issuing a questionnaire to staff, auditing clinic rooms and equipment, and obtaining gross unit costs from the finance department.

Potential Biases

The reliance on staff questionnaires may introduce bias in reporting time and costs.

Limitations

The study had a small sample size and relied on self-reported data from staff, which may not be fully accurate.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602270

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