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Cost analysis of breath test versus endoscopy for dyspepsia


Gee, I and Playford, RJ and Turner, D and Sheldon, N and Wicks, ACB, Cost analysis of breath test versus endoscopy for dyspepsia, Digestion: International Journal of Gastroenterology, 65, (4) pp. 207-212. ISSN 0012-2823 (2002) [Refereed Article]

DOI: doi:10.1159/000063821


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 pound84.67 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 pound98.35 per person. This equates to a cost saving of pound8,276 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 Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Gastroenterology and hepatology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Playford, RJ (Professor Ray Playford)
ID Code:72898
Year Published:2002
Web of Science® Times Cited:5
Deposited By:Research Division
Deposited On:2011-09-02
Last Modified:2011-10-03

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