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Cost accounting the Gamma Knife

M E Epstein¹, C Lindquist

¹Brown University School of Medicine/Rhode Island Hospital, Department of Clinical Neurosciences, Providence.

Stereotactic and Functional Neurosurgery

|January 1, 1993

Summary

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The Gamma Knife is nearly 100% more cost-effective for brain radiosurgery than other technologies when treating over 100 patients annually. This is mainly due to lower labor costs associated with the Gamma Knife procedure.

Area of Science:

Neurosurgery
Medical Technology
Health Economics

Background:

Radiosurgery is a key treatment for brain conditions.
Several technologies exist for delivering radiosurgery.
Comparative cost-effectiveness data is crucial for healthcare providers.

Purpose of the Study:

To compare the costs of three dominant brain radiosurgery technologies.
To analyze equipment and labor costs for each procedure.

Main Methods:

Comparative cost analysis.
Inclusion of equipment and labor costs.
Patient volume threshold analysis.

Main Results:

The Gamma Knife demonstrates superior cost-effectiveness at higher patient volumes (>100 patients/year).

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Gamma Knife cost-effectiveness is approximately 100% greater than alternatives at this volume.

Labor input significantly influences the overall cost of alternative technologies.

Conclusions:

The Gamma Knife is the most cost-effective brain radiosurgery option for facilities treating over 100 patients annually.
Labor costs are a critical factor in the economic viability of radiosurgery technologies.
Healthcare facilities should consider patient volume when selecting radiosurgery equipment.