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CMAJ
CMAJ - March 9, 1999JAMC - le 9 mars 1999

Prostate cancer: 12. The economic burden

Table 2: Mean hospital costs and length of stay for patients with prostate cancer*

  Costs, $
 
Type of hospital care Mean length of stay, d Hospital charges Physician fees Total

Initial therapy
Radical prostatectomy 7.7  6 825 1442  8 267
External-beam radiotherapy † —‡  4 860  400  5 260
Endocrine therapy (ochidectomy) 1.0  1 105  585  1 689

Treatment of complications after initial therapy
Bowel or rectal surgical injury 12.2 10 030  758 10 788
Urethral stricture 1.0   512   329   842
Implantation of urinary sphincter 1.0  4 649  530  5 179
Penile prosthesis 1.0  4 649  391  5 041
Cardiopulmonary complications 7.4  5 565  376  5 941
Vascular complications 7.4  4 079  317  4 396

Radiation-related complications
Cystitis 5.4  3 098  246  3 345
Hematuria 3.3  2 018  178  2 196
Proctitis or rectal stricture 1.0   695  271   966
Diarrhea 4.0  2 627  200  2 827

*Source: S.A. Grover and colleagues (unpublished data), excpet as noted otherwise. Costs are in 1996 Canadian dollars.
†Source: reference 37.
‡This type of therapy is provided mainly on an outpatient basis in hospital clinics.

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