Cost analysis of breath test versus endoscopy for dyspepsia

Gee, I., Playford, R. J., Turner, D., 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:	28 Mar 2025 04:42
URI:	https://ueaeprints.uea.ac.uk/id/eprint/40553
DOI:	10.1159/000063821

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