Table 3 Costs for staging, management, and treatment of Prostate cancer stage I-IV
Staging and treatment variables | Unit cost ($) | I (T1) | II (T2) | III (T3) | 1 V (T4) |
|---|---|---|---|---|---|
Consultation for assessment | 41 | 41 | 41 | 41 | 41 |
Screening and diagnosis | |||||
Prostate Specific Antigen (PSA) | 16 | 48 | 48 | 48 | 48 |
Digital rectal examination (DRE) | |||||
TRUS guided Biopsy | 147 | 147 | 147 | 147 | 147 |
MRI scan | 1,034 | 1,034 | 1,034 | 1,034 | 1,034 |
Chest x-ray | 28 | 27.6 | 27.6 | 27.6 | 27.6 |
Bone scan | 607 | 607 | 607 | 607 | 607 |
Ultrasound | 103 | 103 | 103 | 103 | 103 |
CT scan abdomen | 862 | 862 | 862 | 862 | 862 |
Treatment (Prostate Cancer prevalence in 2018=91 patient) | |||||
Watchful waiting (WW). Costs include PSA test every three months and follow up consultation fee | 58 | 58 | 0 | 0 | 0 |
Radical prostatectomy | 5,726 | 5,726 | 5,726 | 0 | 0 |
Orchiectomy (surgical castration) | 5,726 | 5,726 | 5,726 | 5,726 | 5,726 |
Radiotherapy | 16,648 | 16,648 | 16,648 | 16,648 | 16,648 |
Chemotherapy | 7,498 | 0 | 0 | 7,498 | 7,498 |
Symptoms relieving procedures (TURP/TURB) | 5,872 | 0 | 0 | 5,872 | 5,872 |
Other supportive drugs: Pain killers | 60 | 60 | 60 | 60 | 60 |
Hormonal therapy (ADT) Zoladex 0.8 mg injectables | 1,268 | 1,268 | 1,268 | 1,268 | 1,268 |
Other costs | |||||
Hospitalization costs (local) | 5,872 | 5,872 | 5,872 | 5,872 | 5,872 |
Hospital admission in step down facility for late stage treatment | 1,206 | 1,206 | 1,206 | 1,206 | 1,206 |
Transport and lodging cost (in RSA) | 5,959 | 5,959 | 5,959 | 5,959 | 5,959 |
Follow-up care (Year 1 following completing treatment) | 94 | 94 | 94 | 94 | 94 |
Total | 58,824 | 45,486 | 45,428 | 53,072 | 53,072 |