title: Diagnosis and management costs of suspicious skin lesions from a population-based melanoma screening programme.
abstract: BACKGROUND
  Recently, massive increases in health-care costs for the diagnosis and management of skin lesions have been observed (2000-05). The aim of this study was to describe the health system costs attributed to the diagnosis and management of suspicious skin lesions detected during a trial of a population melanoma screening programme (1998-2001).
  
  
  METHODS
  Queensland, Australia.
  
  
  METHODS
  Data from the trial and Medicare Australia were used to categorize and cost all suspicious skin lesions arising from the trial, which included general practitioner consultations, diagnosis/management and pathology. Comparisons were made with other screened and unscreened populations.
  
  
  RESULTS
  Overall, 2982 lesions were treated within the trial producing a mean cost of Aus$118 per lesion. Excisions for benign lesions contributed the greatest proportion of total costs (45%). The total cost burden was approximately 10% higher for men than women, and 63% of overall costs were for persons aged >or=50 years. For diagnosis and management procedures, the estimated average cost per 1000 individuals was Aus$23,560 for men aged >or=50 years from the skin cancer screening trial, compared with Aus$26,967 for BreastScreen Australia and Aus$3042 for the National Cervical Screening Program.
  
  
  CONCLUSIONS
  The proportion of costs for benign skin lesions and biopsies arising from the screening programme were no higher than in the two-year period outside the trial. While comparisons are difficult, it appears that diagnostic and management costs for skin cancer as a result of screening may be comparable with those for BreastScreen Australia, if screening is targeted at men aged >or=50 years.
authors.affiliation: Viertel Centre for Research in Cancer Control, Queensland Cancer Fund, Brisbane, Australia. Louisa.Gordan@qimr.edu.au
authors.forename: Louisa
authors.initials: L
authors.lastname: Gordon
authors.forename: Philippa H
authors.initials: PH
authors.lastname: Youl
authors.forename: Mark
authors.initials: M
authors.lastname: Elwood
authors.forename: Monika
authors.initials: M
authors.lastname: Janda
authors.forename: Ian T
authors.initials: IT
authors.lastname: Ring
authors.forename: John B
authors.initials: JB
authors.lastname: Lowe
authors.forename: Joanne F
authors.initials: JF
authors.lastname: Aitken
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000191:economics* / Q000379:methods; D008545:Melanoma / Q000175:diagnosis* / Q000517:prevention & control; D008875:Middle Aged; D011793:Queensland; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000517:prevention & control