Table 1 Total unadjusted mean resource-use and cost by allocation arm.
Active monitoring (n = 513)a | Radiotherapy (n = 516)a | Radical prostatectomy (n = 527)a | ||||
|---|---|---|---|---|---|---|
Mean number of unitsb | Mean cost (£) (SD) | Mean number of unitsb | Mean cost (£) (SD) | Mean number of unitsb | Mean cost (£) (SD) | |
Hospital outpatients visits | ||||||
Procedure-driven appointments | ||||||
Protocol radiotherapy | 7.77 | 846 (1608) | 28.37 | 3090 (1665) | 3.69 | 402 (1190) |
Non-protocol radiotherapy | 1.01 | 133 (631) | 0.37 | 49 (377) | 1.86 | 245 (835) |
CT scan | 0.29 | 26 (53) | 0.88 | 81 (56) | 0.22 | 20 (52) |
Radiotherapy preparation | 0.27 | 169 (279) | 0.80 | 503 (252) | 0.19 | 122 (249) |
TRUS | 0.35 | 19 (33) | 0.29 | 16 (30) | 0.29 | 16 (30) |
Trial without a catheter | 0.17 | 24 (57) | 0.09 | 13 (43) | 0.53 | 73 (73) |
Bone scan | 0.28 | 56 (176) | 0.11 | 23 (97) | 0.13 | 26 (102) |
MRI scan | 0.20 | 27 (59) | 0.13 | 17 (53) | 0.11 | 15 (45) |
TRUS-guided biopsy | 0.16 | 35 (83) | 0.07 | 15 (113) | 0.04 | 9 (47) |
Chemotherapy | 0.04 | 58 (663) | 0.09 | 145 (1570) | 0.03 | 50 (844) |
Other procedures | 0.50 | 60 (250) | 0.32 | 57 (346) | 0.34 | 55 (569) |
Speciality-driven appointments | ||||||
Urology | 8.99 | 868 (787) | 9.56 | 913 (795) | 11.64 | 1122 (810) |
Oncology | 1.08 | 156 (463) | 2.76 | 400 (646) | 1.31 | 190 (536) |
Uro-oncology | 0.62 | 80 (205) | 1.07 | 137 (235) | 0.80 | 102 (199) |
Other specialitiesc | 16.56 | 912 (519) | 4.79 | 374 (577) | 3.98 | 260 (493) |
Total outpatient cost | 3469 (2754) | 5832 (3106) | 2707 (2748) | |||
Hospital day case stays | ||||||
Flexible cystoscopy | 0.11 | 51 (165) | 0.06 | 29 (119) | 0.08 | 35 (142) |
Colonoscopy | 0.04 | 21 (126) | 0.07 | 34 (185) | 0.02 | 8 (63) |
TWOC | 0.04 | 16 (83) | 0.01 | 2 (29) | 0.05 | 19 (92) |
Sigmoidoscopy | 0.01 | 5 (46) | 0.04 | 19 (100) | 0.02 | 7 (81) |
Rigid cystoscopy | 0.03 | 27 (160) | 0.01 | 10 (107) | 0.04 | 33 (189) |
TRUS-guided biopsy | 0.05 | 25 (117) | 0.01 | 5 (52) | 0.01 | 4 (46) |
Education | 0.02 | 10 (70) | 0.01 | 4 (52) | 0.02 | 9 (75) |
Chemotherapy | 0.01 | 13 (285) | 0.01 | 21 (390) | 0.03 | 57 (936) |
Urodynamics | 0.01 | 2 (25) | 0.01 | 2 (25) | 0.02 | 6 (43) |
Brachytherapy | 0.01 | 10 (97) | 0.01 | 6 (75) | 0.01 | 6 (75) |
Other day case reasons | 0.14 | 99 (427) | 0.12 | 81 (417) | 0.16 | 119 (505) |
Total day case cost | 277 (689) | 214 (715) | 303 (1299) | |||
Hospital inpatient stays | ||||||
Prostatectomy | 0.25 | 1332 (2380) | 0.11 | 578 (1709) | 0.77 | 4013 (2347) |
Infection | 0.02 | 31 (278) | 0.02 | 42 (721) | 0.04 | 76 (509) |
TURP | 0.05 | 142 (667) | 0.02 | 44 (333) | 0.00 | 21 (379) |
Brachytherapy | 0.03 | 61 (347) | 0.02 | 32 (240) | 0.02 | 31 (237) |
Bladder neck procedure | 0.01 | 18 (213) | 0.01 | 30 (278) | 0.02 | 44 (443) |
Insertion of urinary sphincter | 0.01 | 129 (1238) | 0.01 | 70 (796) | 0.02 | 206 (1464) |
Pain | 0.01 | 17 (243) | 0.01 | 10 (115) | 0.02 | 28 (323) |
Urinary retention | 0.01 | 17 (143) | 0.01 | 7 (94) | 0.01 | 14 (131) |
Rigid cystoscopy | 0.00 | 3 (60) | 0.01 | 19 (158) | 0.01 | 16 (168) |
Blood transfusion | 0.02 | 18 (255) | 0.00 | 0 (0) | 0.00 | 4 (90) |
Other inpatient stays | 0.15 | 434 (2298) | 0.08 | 235 (1458) | 0.18 | 403 (2316) |
Total inpatient cost | 2202 (3956) | 1068 (2854) | 4855 (4055) | |||
GP practice visits | ||||||
By healthcare professional | ||||||
GP | 0.81 | 36 (79) | 0.93 | 41 (86) | 1.09 | 48 (92) |
GP nurse | 0.91 | 13 (38) | 0.66 | 10 (34) | 0.69 | 10 (36) |
Other | 0.05 | 1 (5) | 0.07 | 1 (9) | 0.12 | 2 (16) |
By reason | ||||||
PSA test | 27.41 | 435 (142) | 20.91 | 332 (140) | 20.80 | 330 (138) |
Hormone delivery | 1.97 | 44 (146) | 4.24 | 94 (87) | 0.85 | 19 (87) |
Total GP practice cost | 528 (243) | 477 (205) | 409 (231) | |||
Medications | ||||||
Cyproterone acetate daysd | 0.23 | 1 (5) | 0.37 | 1 (7) | 0.16 | 0 (4) |
Hormone injections | 2.48 | 277 (770) | 3.96 | 331 (515) | 1.20 | 154 (606) |
Total medication cost | 277 (770) | 332 (515) | 154 (606) | |||
Total cost | 6754 (5597) | 7923 (4717) | 8428 (5636) | |||