Assessing short-term effects and costs at an early stage of innovation: The use of positron emission tomography on radiotherapy treatment decision making

Remonnay, Raphaël; Morelle, Magali; Pommier, P.; Giammarile, Francesco; Carrère, Marie‐Odile

doi:10.1017/s026646230808029x

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…In general, when analyzing the marginal costs, the results indicate a disadvantage of HC when compared to hospital care units. These results can be observed in the studies by Fuente [16] and Remonnay et al [20]. It should be considered that marginal cost involves the addition of total production costs when the quantity produced per unit is increased, since this cost involves the supply (or withholding) of an additional unit of the service or practice analyzed.…”

Section: Discussionsupporting

confidence: 62%

“…According to the results, HC has an increasing marginal variation, i.e., the cost increases as the quantity produced increases. The study by Remonnay et al [20] showed that this increase was due to the much higher cost of staff and medication at home. However, the nal average cost of home intervention was lower, which is due to the noninclusion of overhead costs, which was $120.30 (in the hospital) and $20.10 (at home).…”

Section: Discussionmentioning

confidence: 99%

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Analysing home-care services costing by microcosting: A scoping review

Silva

Souza

França

et al. 2023

Preprint

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Objective to map models of Home Care services in the world and the costs associated with them.Method Scope review developed in five stages: identification of the research question; identification of relevant studies; selection of studies; analysis, grouping, synthesis and presentation of data. The search was carried out in seven scientific databases and the gray literature was searched. Texts were included containing a description of the Home Care model/service addressing measures, analyzes or cost comparison, as well as components and cost calculation methods. The texts found were evaluated by two independent researchers for judgment on inclusion. Forty articles that addressed service models and their costs were included and analyzed in depth, in this publication, the eight articles referring to the micro-costing method for calculating costs.Result The eight articles, which deal with the micro-costing method in calculating the costs of home care services, were published between 1997 and 2005, one in Spanish and seven in English. The texts deal with two service models: Hospital-at-Home and Home Visit Care. The direct cost components considered were: personnel, medication, inputs, diagnostic and therapeutic tests, transport, equipment depreciation; health care and support services. As indirect and fixed costs, the following were identified: general maintenance, management and administration, hospitality, inpatient units, archives and others, according to hospital cost accounting data. The studies adopt the benchmarks of cost-effectiveness or cost-minimization for economic evaluation. For the cost analysis, the concepts of cost savings and the difference between average cost and cost are used marginally.Conclusion the concepts of health care costs were mostly approached from the accounting-financial perspective, with calculation of direct, variable or fixed costs. The economic or indirect costs related to the opportunity for HC, costs of family members who care for patients, absenteeism and loss of productivity due to illness are rare and partial in the studies included. This analysis reinforces the need to recognize costs as metadata in the management of health organizations, which means that cost information carries other information.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Analysing home-care services costing by microcosting: A scoping review

Silva

Souza

França

et al. 2023

Preprint

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“…Moreover, interobserver variability in delineating tumor volumes was diminished when 18 F-FDG PET was used for planning [38]. In addition to its enhanced clinical value in radiotherapy planning, the use of 18 F-FDG PET/CT altered the therapeutic strategy in 40 % of patients with NSCLC, which resulted in an overall cost reduction for treatment in this group [39].…”

Section: Radiotherapy Planningmentioning

confidence: 99%

Present and future roles of FDG-PET/CT imaging in the management of lung cancer

et al. 2016

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Integrated positron emission tomography/computed tomography (PET/CT) using 2-[(18)F]fluoro-2-deoxy-D-glucose ((18)F-FDG) has emerged as a powerful tool for combined metabolic and anatomic evaluation in clinical oncologic imaging. This review discusses the utility of (18)F-FDG PET/CT as a tool for managing patients with lung cancer. We discuss different patient management stages, including diagnosis, initial staging, therapy planning, early treatment response assessment, re-staging, and prognosis.

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“…Therefore the number of performed procedures recorded during both data acquisition periods was above such break even point [7]. However, given the value in public health of PET/CT and the amount of the initial investment, the importance of executing the maximum possible number of exams is clear [8,9].…”

Section: Discussionmentioning

confidence: 99%

Relevant Factors and Optimization in the Management of a PET/CT Facility

Orlacchio

Ciarrapico²,

Schillaci³

et al. 2012

OJRad

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Objectives: To analyze the whole PET/CT imaging protocol from patient's registration to the end of the exam in order to optimize the use of such device. Methods: Data from June to July 2010 and from September to October 2010 were acquired, evaluating the time required by every step of the patient pathway. After the first data acquisition, we identified critical elements connected with the execution of the exams. Results: The results of the first data acquisition reported 12 daily performed exams. By reducing patient turnover time and consequently the device downtime, patient turnover time dropped from 6 min to only 3 min while device downtime dropped from 2 h and 30 min to 1 h and 20 min between the first and the second data collection. The number of daily performed exams increased from 12 to 14. Conclusions: The results show how the analysis of a complex study process such as PET/CT and a continuous activity control allow the identification of critical organizational and structural issues providing necessary information to the optimization in the use of devices with a clear value in public health, in large benefits for the patients and improved management results.

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Assessing short-term effects and costs at an early stage of innovation: The use of positron emission tomography on radiotherapy treatment decision making

Abstract: The use of PET for radiotherapy decision making seems more valuable for lung cancer than for Hodgkin's disease, both in terms of costs and changes in radiotherapy treatment. This result might help policy makers for prioritization.

Cited by 15 publications

References 14 publications

Analysing home-care services costing by microcosting: A scoping review

Analysing home-care services costing by microcosting: A scoping review

Present and future roles of FDG-PET/CT imaging in the management of lung cancer

Relevant Factors and Optimization in the Management of a PET/CT Facility

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