COST ESTIMATION OF CERVIX CANCER-TREATMEN T

Background: The goal of this study was to estimate direct costs induce d by the first year of treatment of cervix cancers according to the st age at diagnosis. Methods: Fifteen patients of the Gynaecology Departm ent of the Besancon hospital (Doubs, France) were involved in a prospe ctive study to estimate the real cost of treatment of carcinomas in si tu (CIS) by conization and of microinvasive carcinomas (MIC) by simple hysterectomy, Costs of invasive cancers were obtained from a retrospe ctive analysis of 24 hospital records in the Radiotherapy Department. Results: The average real cost of treatment for the CIS was 5023 FF (1 995 French Francs). Real treatment cost of the MIC was 15,867 FF: The average cost of treatment for the IB and IIA cancers stage (FIGO class ification) was 61,540 FF and 145,314 FF for the IIB to IV stage cancer s. Conclusions: Cost-estimation of cervix cancer treatment according t o the stage of diagnosis has to be done before starting a cost-effecti veness analysis of mass screening for cervix cancers. This study will allow us to take into account changes in the stages distribution follo wing on a screening campaign.