Result card
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Authors: Suvi Mäklin, Taru Haula, Kristian Lampe, Jaana Leipälä, Ulla Saalasti-Koskinen
Internal reviewers: Aurora Llanos-Mendez, Sergio Marquez, Urs Brügger, Mark Pletscher, Iñaki Imaz, Sonia García Pérez
Acknowledgments: Information Specialist Jaana Isojärvi (FINOHTA/THL, Finland)
The unit costs of AAA screening in Finland were estimated using the actual cost data from AAA patients in the hospital district of Helsinki and Uusimaa from the year 2010. Unit costs for ultrasound examination, computer tomography, and elective and emergency surgery for AAA were estimated. Costs of long-term consequences (e.g. possible rehabilitation after the intervention) were not included. The cost estimates include only the costs for healthcare sector; other costs to society, and private costs for patients and their relatives were excluded from this analysis.
The Finnish data were used when conducting the base case cost-effectiveness analysis. To estimate the possible variation in unit costs within Europe, other EUnetHTA partners were asked at the beginning of 2012 to estimate the corresponding costs in their countries. The variations in unit costs are reported in this result card (Table 4).
Unit costs were estimated in seven countries and are presented in Table 4 below. The estimates vary greatly from country to country, as could be expected. The estimated costs of pre- and post-operative care, follow-up and overheads, differ between countries (Table 4), and were derived using a variety of methods, as presented in Table 5. Danish and Swedish costs are based on case-mix or micro-costing estimates. Finnish costs are either charges or micro-costing estimates, and Spanish costs are charges or case-mix estimates. Slovakia reported only charges and Croatia only case-mix estimates.
Table 4. Unit costs of relevant resource items in different countries (cost in € except for Sweden [SEK]. Blank: no response). The estimates include: 1pre-operative care; 2post-operative care; 3follow-up; 4overhead costs/fixed costs
Denmark |
Latvia |
Sweden (SEK) |
Croatia |
Slovakia |
Finland |
Spain |
England |
Ireland | |
Invitation to screening |
0 |
6 |
n/a |
1.50 | |||||
Ultrasound examination for AAA screening |
275 1, 4 |
35 |
1404 |
604 |
37.15 |
n/a |
185 | ||
Ultrasound examination for follow-up |
275 3, 4 |
35 |
140 3 |
50 3, 4 |
904 |
37.15 |
n/a |
185 | |
Computer tomography for follow-up after AAA surgery |
0 |
215 |
8000 3 |
150 3, 4 |
2354 |
255.08 |
n/a |
600 | |
Elective open surgery for AAA |
2656 1, 2, 3, 4 |
2250-3200 |
132000 |
5500 |
1000 1, 2, 4 |
16300 1, 2, 4 |
10243.834 |
n/a |
20000 |
Elective endovascular surgery for AAA |
2332 1, 2, 4 |
10000-17000 |
132000 |
5500 |
1500 1, 2, 4 |
16200 1, 2, 4 |
4944.31 4 |
n/a |
24000 |
Emergency surgery for ruptured AAA |
3454 1, 2, 3, 4 |
2250-3200 |
220000 |
5500 |
5000 1, 2, 4 |
26900 1, 2, 4 |
12666.97 4 |
n/a |
Table 5. The methods used to estimate the unit costs reported in Table 4.
Charge /tariff |
Recommended price |
Case-mix (e.g.DRG) |
Micro-costing | |
Invitation to screening |
England |
Denmark Ireland Sweden | ||
Ultrasound examination for AAA screening |
England Finland Ireland Spain |
Sweden |
Denmark | |
Ultrasound examination for follow-up |
England Ireland Slovakia Finland Spain |
Denmark Sweden | ||
Computer tomography for follow-up after AAA surgery |
Slovakia Finland Ireland Spain |
Denmark Sweden | ||
Elective open surgery for AAA |
Slovakia |
Sweden Croatia Ireland Spain |
Denmark Finland | |
Elective endovascular surgery for AAA |
Slovakia |
Denmark Sweden Croatia Ireland Spain |
Finland | |
Emergency surgery for ruptured AAA |
Slovakia |
Sweden Croatia Spain |
Denmark Finland |
Estimates of the relevant unit costs were obtained in a survey sent to EUnetHTA partners in December 2011 (with reminders in 2012). One should be careful when comparing these figures since we did not ask the respondents to report systematically from which year the cost estimates were derived, or what was the source/reference for the costs. In addition, there is little information about the costs of invitation to screening. This cost may vary depending on the way the invitation process is (and can be) organised in a country. Possible costs associated with, e.g., awareness campaigns concerning population-based screening, should also be included.