Income generated by women treated with magnetic resonance imaging-based brachytherapy: A simulation study evaluating the macroeconomic benefits of implementing a high-end technology in a public sector healthcare setting

Publication date: Available online 7 June 2017
Source:Brachytherapy
Author(s): Santam Chakraborty, Umesh Mahantshetty, Supriya Chopra, Shirley Lewis, Vinod Hande, Shivakumar Gudi, Rahul Krishnatry, Reena Engineer, Shyam Kishore Shrivastava
PurposeTo estimate the difference in income generated if all women presenting in our institute over a 5-year period were treated with MRI-based image-guided brachytherapy (MR-IGBT) instead of conventional radiograph–based brachytherapy (CR-BT).Methods and MaterialsOutcome data from 463 patients (94 treated with MR-IGBT) treated in our institute was used to simulate cumulative women-days of work and cumulative income over 5 years for 5526 patients expected to be treated in this period. The average daily income for a woman was derived from the National Sample Survey Organization (NSSO) survey data. Outcomes from both unmatched and propensity score-matched data sets were simulated.ResultsThe cumulative income in 5 years ranged between Rs 101–168 million if all patients presenting at our institute underwent MR-IGBT. The simulated excess income ranged from Rs 4–45 million after 5 years, which represented 6–66% of the expenditure incurred for acquiring the required equipment and manpower for practicing exclusive MR-IGBT.ConclusionsUsing outcome data from a prospective cohort of patients treated with MR-IGBT in our institute, we demonstrated that significant economic gains may be realized if MR-IGBT was used instead of CR-BT.



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