Unit Cost and Break–Even Point of the Intensity Modulated Radiotherapy and the Volumetric Modulated Arc Therapy for Head and Neck Cancer Treatment in Lopburi Cancer Hospital

Authors

  • Surin Uadrang, M.Sc.
  • Wirasinee Chalermchawalit, M.Sc.
  • Surattaya Siriarechakul, M.D.
  • Yupa Saranyusej, B.N.S.
  • Pimchan Pinsunthon, B.N.S.
  • Ittirit Kumfong, B.Sc.

Keywords:

Unit cost, Break-even point, IMRT, VMAT

Abstract

Background : Intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) are the major roles of treatment for head and neck cancer, which require human resource, cost of tool and maintenances. They also take time for planning, quality assurance and irradiation.

Objective : This study aimed to access the unit cost and break-even point of irradiation IMRT and VMAT technique for head and neck cancer treatment in provider perspective.

Method : The data were collected from head and neck cancer patients receiving IMRT and VMAT techniques between February 1, 2018 and April 30, 2018 in Lopburi Cancer Hospital.

Result : The results revealed that the average direct cost of IMRT technique for head and neck cancer treatment; the labor cost was 6,850.68 baht, the average capital cost was 30,781.13 baht and the average material cost was 10,308.27 baht. Indirect cost was 9,588.02 baht. Unit cost was 57,528.09 baht/ course and the average break-even point was 47.03 course/ year. VMAT technique for head and neck cancer treatment; the average labor cost was 6,960.45 baht, the average capital cost was 67,465.01 baht and the average material cost was 10,504.97 baht. Indirect cost was 16,986.09 baht. Unit cost was 101,916.52 baht/ course and the average break-even point was 148.17 course/ year.

Conclusions : IMRT technique for head and neck cancer treatment; Unit cost was 57,528.09 baht/course and the average break-even point was 47.03 course/year. VMAT technique for head and neck cancer treatment; Unit cost was 101,916.52 baht/ course and the average break-even point was 148.17 course/year.

References

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Volumetric Modulated Radiation Therapy (VMAT), King Chulalongkorn Memorial Hospital, Radiation Oncology[Internet]. [cited 2017 Dec 2]. Available at: https://www.chulacancer.net/services-list-page.php?id=441

Yong JH, McGowan T, Redmond-Misner R, Beca J, Warde P,Gutierrez E, et al. Estimating the costs of intensity-modulatedand 3-dimensional conformal radiotherapy in Ontario. Curr Oncol 2016; 23:228–38.

Perrier L, Morelle M, Pommier P, Boisselier P, Coche-Dequeant B, Gallocher O, et al. Cost Analysis of Complex Radiation Therapy for Patients With Head and Neck Cancer. Int J Radiat Oncol2016;95:654–62.

Chonsani K, Attasit S, Nirin K, Narong C, Surin U, Pichet U, et al. Unit Cost and Break–Even Point of the Intensity Modulated Radiotherapy and the Volumetric Modulated Arc Therapy for Head and Neck Cancer Treatment.Nonthaburi: Institute of Medical Research and Technology Assessment; 2018.

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Published

10-03-2021

How to Cite

1.
Uadrang S, Chalermchawalit W, Siriarechakul S, Saranyusej Y, Pinsunthon P, Kumfong I. Unit Cost and Break–Even Point of the Intensity Modulated Radiotherapy and the Volumetric Modulated Arc Therapy for Head and Neck Cancer Treatment in Lopburi Cancer Hospital. J DMS [Internet]. 2021 Mar. 10 [cited 2024 Apr. 24];45(4):75-80. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/249770

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Original Article