Teledermoscopy for skin cancer referral: justifiable cost?

Teledermoscopy for skin cancer referral: justifiable cost? PharmacoEconomics & Outcomes News 804, p34 - 2 Jun 2018 Teledermoscopy for skin cancer referral: justifiable cost? Teledermoscopy for referral to a dermatologist in patients with suspected skin cancer in Australia appears to increase the cost of diagnosis compared with usual care but the cost may be justifiable in terms of faster clinical resolution, according to findings of a study published in JAMA Dermatology. A decision-analytic model of primary care in Australia was used to evaluate the cost effectiveness of teledermoscopy referral for skin cancer diagnosis and management by a dermatologist, compared with usual care (written referral) for patients with suspected skin cancer, from the Australian healthcare system perspective. Effectiveness was measured by time to clinical resolution (dermatologist diagnosis, or excision of the lesion by a general practitioner). The estimated time to clinical resolution was shorter with teledermoscopy referral than with usual care (9 vs 35 days; difference 26 days; 95% Credible Interval [CrI] 13, 38 days). However, the estimated cost per patient was higher with teledermoscopy referral than with usual care ($318.39 vs $263.75; difference $54.64; 95% CrI $22.69, $97.35). The estimated incremental cost- effectiveness ratio for teledermoscopy versus usual care was $2.10 per day saved to clinical resolution. "Implementation recommendations depend on the preferences of the Australian health system decision makers for either lower cost or expedited clinical resolution," concluded the authors. "Further research around the clinical significance of expedited clinical resolution and its importance for patients could inform implementation recommendations for the Australian setting," they commented. * Australian dollars Snoswell CL, et al. Cost-effectiveness of Skin Cancer Referral and Consultation Using Teledermoscopy in Australia JAMA Dermatology : 9 May 2018. Available from: URL: http://dx.doi.org/10.1001/jamadermatol.2018.0855 803321889 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png PharmacoEconomics & Outcomes News Springer Journals

Teledermoscopy for skin cancer referral: justifiable cost?

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Publisher
Springer International Publishing
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Pharmacoeconomics and Health Outcomes; Quality of Life Research; Health Economics; Public Health
ISSN
1173-5503
eISSN
1179-2043
D.O.I.
10.1007/s40274-018-4998-8
Publisher site
See Article on Publisher Site

Abstract

PharmacoEconomics & Outcomes News 804, p34 - 2 Jun 2018 Teledermoscopy for skin cancer referral: justifiable cost? Teledermoscopy for referral to a dermatologist in patients with suspected skin cancer in Australia appears to increase the cost of diagnosis compared with usual care but the cost may be justifiable in terms of faster clinical resolution, according to findings of a study published in JAMA Dermatology. A decision-analytic model of primary care in Australia was used to evaluate the cost effectiveness of teledermoscopy referral for skin cancer diagnosis and management by a dermatologist, compared with usual care (written referral) for patients with suspected skin cancer, from the Australian healthcare system perspective. Effectiveness was measured by time to clinical resolution (dermatologist diagnosis, or excision of the lesion by a general practitioner). The estimated time to clinical resolution was shorter with teledermoscopy referral than with usual care (9 vs 35 days; difference 26 days; 95% Credible Interval [CrI] 13, 38 days). However, the estimated cost per patient was higher with teledermoscopy referral than with usual care ($318.39 vs $263.75; difference $54.64; 95% CrI $22.69, $97.35). The estimated incremental cost- effectiveness ratio for teledermoscopy versus usual care was $2.10 per day saved to clinical resolution. "Implementation recommendations depend on the preferences of the Australian health system decision makers for either lower cost or expedited clinical resolution," concluded the authors. "Further research around the clinical significance of expedited clinical resolution and its importance for patients could inform implementation recommendations for the Australian setting," they commented. * Australian dollars Snoswell CL, et al. Cost-effectiveness of Skin Cancer Referral and Consultation Using Teledermoscopy in Australia JAMA Dermatology : 9 May 2018. Available from: URL: http://dx.doi.org/10.1001/jamadermatol.2018.0855 803321889 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804

Journal

PharmacoEconomics & Outcomes NewsSpringer Journals

Published: Jun 2, 2018

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