Health economics and genetic service development: a familial cancer genetic example

Cohen, Deborah Anne, Barton, G., Gray, Jonathon and Brain, Katherine Emma ORCID: https://orcid.org/0000-0001-9296-9748 2004. Health economics and genetic service development: a familial cancer genetic example. Familial Cancer -Dordrecht- 3 (1) , pp. 61-67. 10.1023/b:fame.0000026812.87551.bf

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Abstract

Advances in genetics are allowing a greater number of clinical genetics services to be offered to individuals with family histories of particular diseases. It is important that such services are not allowed to proliferate before they have been properly evaluated in terms of both their clinical and cost-effectiveness. A randomised controlled study of a new clinical genetics service in Wales for women with a family history of breast cancer has been undertaken. The health service costs from initial consultation and counselling through to mutation testing within families were assessed, along with patient travel costs. The extra cost of specialist genetics assessment (intervention) was pound 16.36 higher per woman than assessment by a breast surgeon at a District General Hospital (control). A further cost of pound 46.42 per initially presenting woman was also generated as a result of further counselling within the families of 48, and testing within the families of 36 of the 412 original presenting women. An explanation is given here of the costing methodology as an illustration of what is involved in such an exercise.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	Adult,Breast Neoplasms/economics*,Breast Neoplasms/genetics*,Breast Neoplasms/therapy,Cost of Illness,Cost-Benefit Analysis,Economics Medical,Female,Genetic Counseling/economics,Genetic Counseling/methods,Genetic Predisposition to Disease*,Genetic Services/organization & administration*,Great Britain,Health Care Costs*,Humans,Middle Aged,Referral and Consultation/economics
Additional Information:	Publication Types Clinical Trial Comparative Study Randomized Controlled Trial Research Support, Non-U.S. Gov't Full Text Sources EBSCO Ingenta plc Ovid Technologies, Inc. ProQuest Other Literature Sources COS Scholar Universe Labome Researcher Resource - ExactAntigen/Labome Medical Breast Cancer - MedlinePlus Health Information
Publisher:	Springer Verlag
ISSN:	1389-9600
Last Modified:	21 Jun 2023 01:14
URI:	https://orca.cardiff.ac.uk/id/eprint/58268

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