title: The costs of head and neck oncology: primary tumours, recurrent tumours and long-term follow-up.
abstract: We retrospectively calculated the costs of head and neck oncology for reimbursement purposes. This analysis was based on 854 head and neck cancer patients treated between 1994 and 1996 in two major Dutch university hospitals. To anticipate future care costs, costs of required improvements in the quality of care were added. Costs of diagnosis, treatment and 2 years of follow-up of patients with a primary tumour were (euro) 21 858. For patients with a recurrent tumour, this amount was (euro) 27 629. The costs of 10 years of follow-up were (euro) 423 after discounting and correction for survival. In total, average costs per new patient were (euro) 31 829, which covered discounted costs of treating the primary tumour, costs of treating recurrent tumours in 40% of all patients and the costs of 10 years of follow-up. Costs of improving the quality of care were estimated to be (euro) 1598 per new patient.
authors.affiliation: Institute for Medical Technology Assessment, Erasmus University, PO Box 1738, 3000 DR Rotterdam, The Netherlands. vanagthoven@bmg.eur.nl
authors.forename: M
authors.initials: M
authors.lastname: van Agthoven
authors.forename: B M
authors.initials: BM
authors.lastname: van Ineveld
authors.forename: M F
authors.initials: MF
authors.lastname: de Boer
authors.forename: C R
authors.initials: CR
authors.lastname: Leemans
authors.forename: P P
authors.initials: PP
authors.lastname: Knegt
authors.forename: G B
authors.initials: GB
authors.lastname: Snow
authors.forename: C A
authors.initials: CA
authors.lastname: Uyl-de Groot
mesh_terms: D003266:Continuity of Patient Care / Q000191:economics; D017281:Cost of Illness; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000191:economics* / Q000628:therapy; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006785:Hospitals, University / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D017059:Models, Econometric; D009062:Mouth Neoplasms / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D009426:Netherlands; D016522:Oncology Service, Hospital / Q000191:economics* / Q000706:statistics & numerical data; D009959:Oropharyngeal Neoplasms / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D011785:Quality Assurance, Health Care / Q000191:economics; D012008:Recurrence; D012189:Retrospective Studies