Normal tissue complication | Management/patient procedure | Estimated cost | Reference |
---|---|---|---|
Oral mucositis (grade ≥ 3) or Esophagitis (grade ≥ 3) | Fentanyl 25 μg/h patch (for 6 weeks) | $168.8 | NADAC database |
Percocet 325 mg tablet (for 6 weeks) | $1514.1 | NADAC database | |
Mucositis cocktail (for 6 weeks) | $37.0 | NADAC database | |
Weekly IV hydration (for 4 weeks) | $154.2 | 2019 Medicare Coding and Payment Report | |
PEG tube placement in 30% of cases | $5686* | Callahan et al. [18] | |
Emergency room visit in 15% of cases for oral mucositis and 10% of cases for esophagitis | $2096 | 2018 Health Care Cost and Utilization Report† | |
In patient hospitalization in 10% of cases | $19,672 | 2018 Health Care Cost and Utilization Report | |
Loss of 1 month of work | $2718 | US Census Bureau Median per Capita Income 2014–2018‡ | |
Dysphagia (grade ≥ 2) | Chronic PEG tube in 10% of cases | $18,836/year* | Callahan et al. [18] |
$1700 (based on average Medicare charges ranging from $1200 to $2200) | www.howmuchisit.org/esophageal-dilation-cost/ (updated Aug 2018) | ||
Hypothyroidism (elevated TSH with or without T4/T3 changes requiring hormone replacement) | Levothyroxine hormone replacement | $174.2/year (assuming 70 kg body weight) | NADAC database |
Xerostomia (grade ≥ 2) | Pilocarpine 5 mg (for 10 weeks) | $231 | NADAC database |
Cevimeline 30-45 mg (for 6 weeks) | $251.4 |