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Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units

OBJECTIVE: To calculate the full cost of diagnostic pathology tests for Non-Small Cell Lung Cancer (NSCLC) across four Italian Pathology Units. METHODS: Pathology Units were located in private (2) and public (2) hospitals distributed across the Italian territory (North: 2; Centre: 1; South: 1). Path...

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Autores principales: Lazzaro, Carlo, Fattore, Giovanni, Barberis, Massimo, Buttitta, Fiamma, Cassoni, Paola, Graziano, Paolo, Marchetti, Antonio, Crema, Stefania, Dal Pero, Francesca, Papotti, Mauro Giulio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore srl 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463002/
https://www.ncbi.nlm.nih.gov/pubmed/36790110
http://dx.doi.org/10.32074/1591-951X-837
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author Lazzaro, Carlo
Fattore, Giovanni
Barberis, Massimo
Buttitta, Fiamma
Cassoni, Paola
Graziano, Paolo
Marchetti, Antonio
Crema, Stefania
Dal Pero, Francesca
Papotti, Mauro Giulio
author_facet Lazzaro, Carlo
Fattore, Giovanni
Barberis, Massimo
Buttitta, Fiamma
Cassoni, Paola
Graziano, Paolo
Marchetti, Antonio
Crema, Stefania
Dal Pero, Francesca
Papotti, Mauro Giulio
author_sort Lazzaro, Carlo
collection PubMed
description OBJECTIVE: To calculate the full cost of diagnostic pathology tests for Non-Small Cell Lung Cancer (NSCLC) across four Italian Pathology Units. METHODS: Pathology Units were located in private (2) and public (2) hospitals distributed across the Italian territory (North: 2; Centre: 1; South: 1). Pathologists provided via questionnaire data on tests on NSCLC samples along with the identification and quantification of the necessary healthcare resources (diagnostic technologies, laboratory instruments and personnel). Resources were valued according to hospital-specific unit, yearly and hourly costs (disposables; technologies; professional clusters). RESULTS: The full cost per NSCLC tissue sample included histopathological immunophenotypic and required molecular analysis. Overall, it reached € 659.77 and it was mainly composed of direct costs (77.69%). The processing of a NSCLC tissue sample was labour intensive, as a relevant share of the full cost (44.98%) was actually due to personnel costs, with laboratory technicians, biologists and pathologist driving this finding (17.09%,12.43% and 10.81%, respectively). CONCLUSIONS: The results of this research can facilitate the negotiation of new dedicated tariffs for NSCLC sample processing with the national or local third party-payers.
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spelling pubmed-104630022023-08-30 Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units Lazzaro, Carlo Fattore, Giovanni Barberis, Massimo Buttitta, Fiamma Cassoni, Paola Graziano, Paolo Marchetti, Antonio Crema, Stefania Dal Pero, Francesca Papotti, Mauro Giulio Pathologica Original Article OBJECTIVE: To calculate the full cost of diagnostic pathology tests for Non-Small Cell Lung Cancer (NSCLC) across four Italian Pathology Units. METHODS: Pathology Units were located in private (2) and public (2) hospitals distributed across the Italian territory (North: 2; Centre: 1; South: 1). Pathologists provided via questionnaire data on tests on NSCLC samples along with the identification and quantification of the necessary healthcare resources (diagnostic technologies, laboratory instruments and personnel). Resources were valued according to hospital-specific unit, yearly and hourly costs (disposables; technologies; professional clusters). RESULTS: The full cost per NSCLC tissue sample included histopathological immunophenotypic and required molecular analysis. Overall, it reached € 659.77 and it was mainly composed of direct costs (77.69%). The processing of a NSCLC tissue sample was labour intensive, as a relevant share of the full cost (44.98%) was actually due to personnel costs, with laboratory technicians, biologists and pathologist driving this finding (17.09%,12.43% and 10.81%, respectively). CONCLUSIONS: The results of this research can facilitate the negotiation of new dedicated tariffs for NSCLC sample processing with the national or local third party-payers. Pacini Editore srl 2023-02-14 /pmc/articles/PMC10463002/ /pubmed/36790110 http://dx.doi.org/10.32074/1591-951X-837 Text en © 2023 Copyright by Società Italiana di Anatomia Patologica e Citopatologia Diagnostica, Divisione Italiana della International Academy of Pathology https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access journal distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license: the work can be used by mentioning the author and the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Original Article
Lazzaro, Carlo
Fattore, Giovanni
Barberis, Massimo
Buttitta, Fiamma
Cassoni, Paola
Graziano, Paolo
Marchetti, Antonio
Crema, Stefania
Dal Pero, Francesca
Papotti, Mauro Giulio
Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title_full Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title_fullStr Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title_full_unstemmed Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title_short Full cost of diagnostic pathology for lung carcinoma in Italy: results from four Pathology Units
title_sort full cost of diagnostic pathology for lung carcinoma in italy: results from four pathology units
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463002/
https://www.ncbi.nlm.nih.gov/pubmed/36790110
http://dx.doi.org/10.32074/1591-951X-837
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