title: The total hospital and community UK costs of managing patients with relapsed breast cancer.
abstract: The complete hospital and community records of 77 women were randomly selected from 232 women who had relapsed breast cancer between 2000 and 2005. Scrutiny of all management activities revealed a total cost of 1,939,329 pound sterling (mean per patient of 25,186 pound sterling , 95% CI 13,705 pound sterling-33,821 pound sterling ). The median survival from time of relapse was 40.07 months and the median total cost per patient was 31 402.62 pound sterling . Including the community cost of a relapse provides a more realistic figure for future cost-effectiveness analysis of adjuvant breast cancer therapies.
authors.affiliation: The Primrose Oncology Research Unit, Bedford Hospital NHS Trust, Bedford, MK42 9DJ, UK. rt@cancernet.co.uk
authors.forename: R J
authors.initials: RJ
authors.lastname: Thomas
authors.forename: M
authors.initials: M
authors.lastname: Williams
authors.forename: C
authors.initials: C
authors.lastname: Marshall
authors.forename: J
authors.initials: J
authors.lastname: Glen
authors.forename: M
authors.initials: M
authors.lastname: Callam
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000191:economics* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D015331:Cohort Studies; D003365:Costs and Cost Analysis; D019468:Disease Management; D005260:Female; D017048:Health Care Costs; D017721:Hospital Costs; D006761:Hospitals; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D016019:Survival Analysis