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Treating Bowen's disease: a cost-minimization study.

V S Ramrakha-Jones1, R M Herd

  • 1Department of Dermatology, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK. davana@doctors.org.uk

The British Journal of Dermatology
|June 28, 2003
PubMed
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For Bowen's disease treatment, curettage or excision biopsy under local anesthetic is the most cost-effective option for the National Health Service. Photodynamic therapy represents the highest cost modality.

Area of Science:

  • Dermatology
  • Health Economics
  • Oncology

Background:

  • Justifying treatment costs in dermatology is crucial, especially when less expensive alternatives are available.
  • Bowen's disease management requires careful consideration of economic factors.

Purpose of the Study:

  • To identify the most cost-effective treatment for Bowen's disease within the National Health Service.
  • To compare the economic impact of six common Bowen's disease treatment modalities.

Main Methods:

  • A cost-minimization analysis compared cryotherapy, curettage and cautery, excision, laser ablation, photodynamic therapy, and 5-fluorouracil for Bowen's disease.
  • Data were sourced from literature reviews, average wholesale prices, staff salaries, and health economics departments.

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Main Results:

  • Curettage or excision biopsy under local anesthetic is the least expensive treatment for a single Bowen's disease lesion.
  • Photodynamic therapy emerged as the most costly treatment option.

Conclusions:

  • Cost-effectiveness studies, alongside efficacy and safety data, are vital for guiding National Health Service resource allocation.
  • Informed treatment decisions for Bowen's disease can be supported by economic evaluations.