Researchers from England performed a cost analysis of a test and treat strategy for Helicobacter pylori, versus endoscopy, using data based on the breath test service in Leicester.
The team retrospectively analyzed data that was acquired between 1999 and 2000, in a university teaching hospital.
The main outcome measured in the study was the cost of each management strategy.
|Cost per patient:|
Breath test: £85
| Digestion |
Researchers found that referral to the breath test service cost £84.67 per person with dyspepsia (including treatment of positive patients and endoscopy cost of patients endoscoped).
They also established that if the breath test service had not existed, referral for endoscopy would have cost £98.35 per person.
This equates to a cost saving of £8276 over the year studied for the 605 patients referred.
In addition, breath testing resulted in 353 fewer endoscopies being performed.
Dr I. Gee's research team concluded, "Direct referral to a H. pylori breath test service saves money, avoids an unpleasant test for many people, and reduces the endoscopy waiting list".