Skin cancer excision is more efficient and cost effective in a specialist secondary care service

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dc.contributor.authorO'Sullivan, S.
dc.contributor.authorBowe, S.
dc.contributor.authorO'Riordan, T.
dc.contributor.authorMurphy, Aileen
dc.contributor.authorMurphy, M.
dc.contributor.authorHeffron, C.
dc.contributor.authorBourke, J. F.
dc.date.accessioned2020-03-31T10:21:19Z
dc.date.available2020-03-31T10:21:19Z
dc.date.issued2020-03
dc.description.abstractAim: To compare the relative efficiencies of skin excisions in primary and secondary care. Methods: We compared the benign: malignant ratio for specimens referred by General Practice, General Surgery and the Skin Cancer Service to the regional pathology laboratory over one month. We used cost minimization analysis to compare the relative efficiencies of the services. Results: 620 excisions were received: 139 from General Practice, 118 from General Surgery and 363 from the Skin Cancer Service. The number (%) of malignant lesions was 13 (9.4%) from General Practice, 18 (15.2%) from General Surgery and 137 (37.7%) from the Skin Cancer Service. Excision was cheaper in General Practice at €84.58 as compared to €97.49 in the hospital day surgical unit. However, the cost per malignant lesion excised was €1779.80 in general practice versus €381.78 in the Skin Cancer Service. Conclusion: Our results indicate that moving skin cancer treatment to General Practice may result in an excess of benign excisions and therefore be both less efficient and less cost effective.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidP38en
dc.identifier.citationO’Sullivan, S., Bowe, S., O’Riordan, T., Murphy, A., Murphy, M., Heffron, C. and Bourke, J. F. (2020) ‘Skin cancer excision is more efficient and cost effective in a specialist secondary care service’, Irish Medical Journal, 113(3), P38 (5pp).en
dc.identifier.endpage5en
dc.identifier.issn0332-3102
dc.identifier.issued3en
dc.identifier.journaltitleIrish Medical Journalen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9793
dc.identifier.volume113en
dc.language.isoenen
dc.publisherIrish Medical Organisationen
dc.relation.urihttp://www.imj.ie/wp-content/uploads/2020/03/Skin-Cancer-Excision-Is-More-Efficient-and-Cost-Effective-in-a-Specialist-Secondary-Care-Service.pdf
dc.rights© 2020, Irish Medical Organisation. All rights reserved.en
dc.subjectSkin excisionsen
dc.subjectPrimary careen
dc.subjectSecondary careen
dc.subjectMalignanten
dc.subjectBenignen
dc.titleSkin cancer excision is more efficient and cost effective in a specialist secondary care serviceen
dc.typeArticle (peer-reviewed)en
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