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Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer!

Bethany Fern Anthony, Stefanie Disbeschl, Nia Goulden, Annie Hendry, Julia Hiscock, Zoe Hoare, Jessica Roberts, Jan Rose, Alun Surgey, Nefyn Howard Williams, Daniel Walker, Richard Neal, Clare Wilkinson and Rhiannon Tudor Edwards
BJGP Open 2023; 7 (1): BJGPO.2022.0130. DOI: https://doi.org/10.3399/BJGPO.2022.0130
Bethany Fern Anthony
1 Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK
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  • ORCID record for Bethany Fern Anthony
  • For correspondence: b.anthony{at}bangor.ac.uk
Stefanie Disbeschl
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Nia Goulden
3 NWORTH, Bangor University, Bangor, UK
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Annie Hendry
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Julia Hiscock
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Zoe Hoare
3 NWORTH, Bangor University, Bangor, UK
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Jessica Roberts
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Jan Rose
4 National Cancer Research Institute (NCRI), Consumer Member, London, UK
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Alun Surgey
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Nefyn Howard Williams
5 Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK
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Daniel Walker
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Richard Neal
6 College of Medicine and Health, University of Exeter, Exeter, UK
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Clare Wilkinson
2 North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Rhiannon Tudor Edwards
1 Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK
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Article Figures & Data

Figures

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    Figure 1. Adapted ThinkCancer! logic model. CRUK = Cancer Research UK. NICE = National Institute for Health and Care Excellence.

Tables

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    Table 1. Total costs for intervention delivery at 19 general practices
    Type of costTotalMeanSD
    Materials£3149£16652.88
    Staff attendee time£18 773£988524.95
    Intervention deliverer time£3109£16453.37
    £25 030£1317578.24
    • View popup
    Table 2. Total costs of materials for ThinkCancer! intervention delivery at 19 general practices
    MaterialsUnitsUnit cost (£)Number of unitsTotal cost (£)
    Red Whale handbookOne Red Whale handbook (with value-added tax)£21.54114£2455.56
    SSNAP toolPer tool£1.7872£128.16
    Feedback formPer form£0.15280£42
    Participant information sheetPer sheet£0.50570£285
    Consent formPer form£0.10258£25.80
    Cancer awareness packPer pack£1.6519£31.35
    PostageNANAPostage of materials to 19 practices£180.71
    £3148.58
    • SSNAP = Shared Safety Net Action Plan.

    • View popup
    Table 3. Total costs of time to deliver ThinkCancer! at 19 practices
    Intervention delivererUnitUnit costsTotal time of intervention deliveryacross 19 practices (minutes)Travel costs(£0.40 per mile)Total cost (£)
    GP educatorPer minute£0.842253£41.60£1934.12
    Support role 1Per minute£0.342193£0£745.62
    Support role 2Per minute£0.48894£0£429.12
    £3108.86
    • View popup
    Table 4. Estimated travel expenses and travel-time costs for intervention deliverer for face-to-face delivery format at 19 general practices
    Total miles for return journeys to the general practice sitesTotal cost for travel expenses (calculated at £0.40 per mile)Total travel time to 19 general practices (minutes)Total cost of intervention deliverers’ time for travel (based on the number of deliverers at workshops in the base-case analysis)Total cost of face-to-face delivery
    3733£1493.205606£8107£34 630

Supplementary Data

  • Anthony_BJGPO.2022.0130_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer!
Bethany Fern Anthony, Stefanie Disbeschl, Nia Goulden, Annie Hendry, Julia Hiscock, Zoe Hoare, Jessica Roberts, Jan Rose, Alun Surgey, Nefyn Howard Williams, Daniel Walker, Richard Neal, Clare Wilkinson, Rhiannon Tudor Edwards
BJGP Open 2023; 7 (1): BJGPO.2022.0130. DOI: 10.3399/BJGPO.2022.0130

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Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer!
Bethany Fern Anthony, Stefanie Disbeschl, Nia Goulden, Annie Hendry, Julia Hiscock, Zoe Hoare, Jessica Roberts, Jan Rose, Alun Surgey, Nefyn Howard Williams, Daniel Walker, Richard Neal, Clare Wilkinson, Rhiannon Tudor Edwards
BJGP Open 2023; 7 (1): BJGPO.2022.0130. DOI: 10.3399/BJGPO.2022.0130
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Keywords

  • primary health care
  • general practice
  • Feasibility studies
  • health care economics and organizations
  • early cancer diagnosis

More in this TOC Section

  • Identifying and addressing UTI prevention barriers in primary care: a qualitative study
  • Depictions of the GP crisis: thematic analysis of UK newspapers pre-general election
  • Continuing professional development on planetary health for African family physicians: descriptive survey
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