| Resource use | 1999 prices (mean) | Mean 2015/16 pricesa |
|---|---|---|
| Pre-screening assessment costs (30 minutes neurosurgeon time and outpatient clinic visit) | £330 to £556 (£443) | £698 |
| Test dose (Lumbar puncture, lumbar catheter, injection of a therapeutic substance, 2 days hospitalisation, drug costs, physiotherapist, and nursing time for patient observation) | £940 to £1,570 (£1,255) | £1,976 |
| Cost of implantation procedure (cost of pump, catheter, procedure, drugs, 5-day inpatient stay) | £8,730 to £10,260 (£9,495) | £14,952 |
| Other costs (tests, pathology, radiology, microbiology), excluding potential transport | £550 | £866 |
| Total cost of procedure | £11,743 | £18,492 |
| Cost of follow-up (refill kit, drug costs, physiotherapist assessment, and outpatient visit) with an average of 4 to 8 refills per year | £140 to £150 per refill £145 × 6 refills per year = £870 annual cost | £1,370 |
| Discounted follow-up over 5 years | £3,677 | £5,790 |
| Total discounted cost over 5 years | £15,420 | £24,283 |
HSHC inflation factor 1.5748 (2015/16 PPI 297/ 1999/2000 PPI 188.6)
From: Management of abnormal muscle tone: neurosurgical procedures to reduce spasticity
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