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A National Budget Impact Analysis of a Specialised Surveillance Programme for Individuals at Very High Risk of Melanoma in Australia.
- Source :
-
Applied health economics and health policy [Appl Health Econ Health Policy] 2018 Apr; Vol. 16 (2), pp. 235-242. - Publication Year :
- 2018
-
Abstract
- Background: Specialised surveillance using total body photography and digital dermoscopy to monitor people at very high risk of developing a second or subsequent melanoma has been reported as cost effective.<br />Objectives: We aimed to estimate the 5-year healthcare budget impact of providing specialised surveillance for people at very high risk of subsequent melanoma from the perspective of the Australian healthcare system.<br />Methods: A budget impact model was constructed to assess the costs of monitoring and potential savings compared with current routine care based on identification of patients at the time of a melanoma diagnosis. We used data from a published cost-effectiveness analysis of specialised surveillance, and Cancer Registry data, to estimate the patient population and healthcare costs for 2017-2021.<br />Results: When all eligible patients, estimated at 18% of patients with melanoma diagnosed annually in Australia, received specialised surveillance rather than routine care, the cumulative 5-year cost was estimated at $93.5 million Australian dollars ($AU) ($US 64 million) for specialised surveillance compared with $AU 120.7 million ($US 82.7 million) for routine care, delivering savings of $AU 27.2 million ($US 18.6 million). With a staggered introduction of 60% of eligible patients accessing surveillance in year 1, increasing to 90% in years 4 and 5, the cumulative cost over 5 years was estimated at $AU 98.1 million ($US 67.2 million), amounting to savings of $AU 22.6 million ($US 15.5 million) compared with routine care.<br />Conclusions: Specialised melanoma surveillance is likely to provide substantial cost savings for the Australian healthcare system.
- Subjects :
- Australia epidemiology
Cost Savings methods
Cost-Benefit Analysis
Early Detection of Cancer methods
Early Detection of Cancer statistics & numerical data
Humans
Melanoma diagnosis
Melanoma economics
Melanoma etiology
Risk Factors
Early Detection of Cancer economics
Health Care Costs statistics & numerical data
Melanoma epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1179-1896
- Volume :
- 16
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Applied health economics and health policy
- Publication Type :
- Academic Journal
- Accession number :
- 29305821
- Full Text :
- https://doi.org/10.1007/s40258-017-0368-0