Cost analysis of breath test versus endoscopy for dyspepsia

Gee, I., Playford, R. J., Turner, D. ORCID: https://orcid.org/0000-0002-1689-4147, Sheldon, N. and Wicks, A. C. B. (2002) Cost analysis of breath test versus endoscopy for dyspepsia. Digestion, 65 (4). pp. 207-212. ISSN 0012-2823

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Abstract

Background: There is currently much debate on the best way to manage dyspepsia in the community and cost effectiveness is often discussed. We aim to perform a cost analysis of a test and treat strategy for Helicobacter pylori versus endoscopy using data based on the breath test service in Leicester. Methods: Retrospective analysis of data acquired over the 1-year period from March 1, 1999, to February 29, 2000, in a university teaching hospital. The main outcome measure was the cost of each management strategy. Results: Referral to the breath test service cost £84.67 per person with dyspepsia (including treatment of positive patients and endoscopy cost of patients endoscoped). If the breath test service had not existed, referral for endoscopy would have cost £98.35 per person. This equates to a cost saving of £8,276 over the year studied for the 605 patients referred. It also resulted in 353 fewer endoscopies being performed. Conclusion: Direct referral to a H. pylori breath test service saves money, avoids an unpleasant test for many people and reduces the endoscopy waiting list.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit
Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care
Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
Depositing User: Users 2731 not found.
Date Deposited: 12 Dec 2012 13:12
Last Modified: 04 Jan 2024 02:31
URI: https://ueaeprints.uea.ac.uk/id/eprint/40553
DOI: 10.1159/000063821

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