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A simplified economic approach to thyroid FNA cytology and surgical intervention in thyroid nodules

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A simplified economic approach to thyroid FNA cytology and surgical intervention in thyroid nodules. / Poller, David Nigel; Kandaswamy, Prashanth.

In: Journal of Clinical Pathology, Vol. 66, No. 7, 07.2013, p. 583-8.

Research output: Contribution to journalArticlepeer-review

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Poller, David Nigel ; Kandaswamy, Prashanth. / A simplified economic approach to thyroid FNA cytology and surgical intervention in thyroid nodules. In: Journal of Clinical Pathology. 2013 ; Vol. 66, No. 7. pp. 583-8.

Bibtex

@article{8a082f0a56b240bf9d10ccc814fa1ec7,
title = "A simplified economic approach to thyroid FNA cytology and surgical intervention in thyroid nodules",
abstract = "OBJECTIVE: Few studies have modelled the economics of thyroid FNA.METHODS: A simple spreadsheet economic model for delivery of thyroid fine needle aspiration (FNA) cytology is described using the UK Royal College of Pathologists' Classification for thyroid FNA which is based on The Bethesda System for Reporting Thyroid Cytopathology.RESULTS: We show an estimated 27.8% cost treatment reduction per patient if low rates of non-diagnostic for cytological diagnosis (Thy 1) and neoplasm possible atypia/non-diagnostic (Thy 3a) are achieved, which require rapid onsite FNA adequacy assessment of aspiration samples. If we assume that the number of thyroid FNAs performed in the UK annually is around 500 per million, and the UK population is 62 million, this could save the UK National Health Service significant sums, as the additional cost per patient treated in this model varies from £781 for a scenario with ultrasound guided FNA and inclinic cell adequacy assessment to £998 where aspirates are taken in conventional fashion without any inclinic adequacy assessment.CONCLUSIONS: This model makes a strong economic case for the introduction of rapid onsite assessment of thyroid FNA across cancer networks, to improve the diagnostic efficacy of thyroid FNA.",
keywords = "Biopsy, Fine-Needle, Cost Savings, Diagnosis, Differential, Female, Health Care Costs, Humans, Male, Models, Economic, Neoplasms, Practice Patterns, Physicians', Thyroid Nodule, Thyroidectomy, Journal Article",
author = "Poller, {David Nigel} and Prashanth Kandaswamy",
year = "2013",
month = jul,
doi = "10.1136/jclinpath-2012-201339",
language = "English",
volume = "66",
pages = "583--8",
journal = "Journal of Clinical Pathology",
issn = "0021-9746",
publisher = "BMJ Publishing Group",
number = "7",

}

RIS

TY - JOUR

T1 - A simplified economic approach to thyroid FNA cytology and surgical intervention in thyroid nodules

AU - Poller, David Nigel

AU - Kandaswamy, Prashanth

PY - 2013/7

Y1 - 2013/7

N2 - OBJECTIVE: Few studies have modelled the economics of thyroid FNA.METHODS: A simple spreadsheet economic model for delivery of thyroid fine needle aspiration (FNA) cytology is described using the UK Royal College of Pathologists' Classification for thyroid FNA which is based on The Bethesda System for Reporting Thyroid Cytopathology.RESULTS: We show an estimated 27.8% cost treatment reduction per patient if low rates of non-diagnostic for cytological diagnosis (Thy 1) and neoplasm possible atypia/non-diagnostic (Thy 3a) are achieved, which require rapid onsite FNA adequacy assessment of aspiration samples. If we assume that the number of thyroid FNAs performed in the UK annually is around 500 per million, and the UK population is 62 million, this could save the UK National Health Service significant sums, as the additional cost per patient treated in this model varies from £781 for a scenario with ultrasound guided FNA and inclinic cell adequacy assessment to £998 where aspirates are taken in conventional fashion without any inclinic adequacy assessment.CONCLUSIONS: This model makes a strong economic case for the introduction of rapid onsite assessment of thyroid FNA across cancer networks, to improve the diagnostic efficacy of thyroid FNA.

AB - OBJECTIVE: Few studies have modelled the economics of thyroid FNA.METHODS: A simple spreadsheet economic model for delivery of thyroid fine needle aspiration (FNA) cytology is described using the UK Royal College of Pathologists' Classification for thyroid FNA which is based on The Bethesda System for Reporting Thyroid Cytopathology.RESULTS: We show an estimated 27.8% cost treatment reduction per patient if low rates of non-diagnostic for cytological diagnosis (Thy 1) and neoplasm possible atypia/non-diagnostic (Thy 3a) are achieved, which require rapid onsite FNA adequacy assessment of aspiration samples. If we assume that the number of thyroid FNAs performed in the UK annually is around 500 per million, and the UK population is 62 million, this could save the UK National Health Service significant sums, as the additional cost per patient treated in this model varies from £781 for a scenario with ultrasound guided FNA and inclinic cell adequacy assessment to £998 where aspirates are taken in conventional fashion without any inclinic adequacy assessment.CONCLUSIONS: This model makes a strong economic case for the introduction of rapid onsite assessment of thyroid FNA across cancer networks, to improve the diagnostic efficacy of thyroid FNA.

KW - Biopsy, Fine-Needle

KW - Cost Savings

KW - Diagnosis, Differential

KW - Female

KW - Health Care Costs

KW - Humans

KW - Male

KW - Models, Economic

KW - Neoplasms

KW - Practice Patterns, Physicians'

KW - Thyroid Nodule

KW - Thyroidectomy

KW - Journal Article

U2 - 10.1136/jclinpath-2012-201339

DO - 10.1136/jclinpath-2012-201339

M3 - Article

C2 - 23533260

VL - 66

SP - 583

EP - 588

JO - Journal of Clinical Pathology

JF - Journal of Clinical Pathology

SN - 0021-9746

IS - 7

ER -

ID: 4757507