Direct costs of treating men with prostate cancer with <i>High Intensity Focused Ultrasound</i>

Silva, Pâmela Adalgisa Lopes da; Lima, Antônio Fernandes Costa

doi:10.1590/1980-220X-REEUSP-2023-0132en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 57 • 2023 • https://doi.org/10.1590/1980-220X-REEUSP-2023-0132en copy

Direct costs of treating men with prostate cancer with High Intensity Focused Ultrasound^* * Extracted from the dissertation: “Custo direto do ultrassom focalizado de alta intensidade para o tratamento de neoplasia da próstata”, Universidade de São Paulo, 2023.

Costos directos del tratamiento de hombres con cáncer de próstata con el uso de High Intensity Focused Ultrasound

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the direct costs of materials, medicines/solutions and healthcare professionals required to treat men with prostate cancer using High Intensity Focused Ultrasound.

Method:

Quantitative, exploratory-descriptive research, single case study type. Data were collected from electronic medical records/printed documentation from the Operating Room of a public teaching and research hospital. Health professionals estimated the respective time spent on activities in the following stages: “Before anesthetic induction”, “Before performing thermal ablation”, “During thermal ablation” and “After performing thermal ablation”. Costs were calculated by multiplying the (estimated) time spent by the unit cost of direct labor, adding to the measured cost of materials, medicines/solutions.

Results:

The measured costs with materials corresponded to US$851.58 (SD = 2.17), with medicines/solutions to US$72.13 (SD = 25.84), and estimated personnel costs to US$196.03, totaling US$1119.74/procedure.

Conclusion:

The economic results obtained may support hospital managers in the decision-making process regarding the adoption of the High Intensity Focused Ultrasound for the treatment of prostate cancer.

DESCRIPTORS
Prostatic Neoplasms; Therapeutic Uses; Ultrasound; High-Intensity Focused; Transrectal; Hospital Care; Costs and Cost Analysis; Direct Service Costs

Professional category	N	%	Average age (SD^* *SD – standard deviation. )	Average time since course completion	Average time working in the Operating Room
Nurse	2	20.00	33.00(SD = 11.30)	9.00(SD = 5.60)	7.00(SD = 2.80)
Nursing technician	4	40.00	34.50(SD = 10.30)	10.50(SD = 8.30)	10.50(SD = 8.90)
Anesthetist	2	20.00	44.00(SD = 4.24)	18.50(SD = 3.50)	17.00(SD = 5.60)
Urologist	2	20.00	31.00(SD = 0.00)	5.00(SD = 0.70)	4.50(SD = 0.00)
TOTAL	10	100.00	35.40(SD = 8.60)	11.90(SD = 6.60)	10.20(SD = 6.60)

Stages	Estimated time (minutes) – %	Estimated ADC^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. (US$^† * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. ) – %
First: “Before anesthetic induction”	49 – 12.76	17.47 – 8.91
Second: “Before performing thermal ablation with HIFU”	64 – 16.67	46.03 – 23.48
Third: “Before thermal ablation with HIFU”	213 – 55.47	101.13 – 51.59
Fourth: “After thermal ablation with HIFU”	58 – 15.10	31.40 – 16.02
TOTAL	384 – 100.00	196.03 – 100.00

Variables	ADC^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. (US$^† * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. )
ADC^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. calculated with materials	851.58 – 76.05
ADC^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. determined with medicines/solutions	72.13 – 6.44
ADC^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. estimated with DLC of healthcare professionals	196.03 – 17.51
TOTAL ADC ^* * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021. – US$ ^† * ADC – Average direct cost, †US$ – US dollar with conversion rate: R$5.54/ US$1.00. Brazilian Central Bank, based on the quote on 11/18/2021.	1119.74 – 100.00

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Pâmela Adalgisa Lopes da Silva, Rua Eurico Dias Batista, 27, Parque Planalto, 04841-230 – São Paulo, SP, Brazil, pameladalgisaa@gmail.com

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Direct costs of treating men with prostate cancer with High Intensity Focused Ultrasound* * Extracted from the dissertation: “Custo direto do ultrassom focalizado de alta intensidade para o tratamento de neoplasia da próstata”, Universidade de São Paulo, 2023.

Costos directos del tratamiento de hombres con cáncer de próstata con el uso de High Intensity Focused Ultrasound

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Direct costs of treating men with prostate cancer with High Intensity Focused Ultrasound^* * Extracted from the dissertation: “Custo direto do ultrassom focalizado de alta intensidade para o tratamento de neoplasia da próstata”, Universidade de São Paulo, 2023.