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Since energy consumption data for each group of consumers (with different energy consumption and with or without meters) is not available at a very detailed (price differentiation) level, it was decided to compare actual cost, reported by the Ministry of Fuel and Energy (MFE [2009]) and estimated reference cost for a given quantity of energy consumed.
The mean reference cost for outpatient AB04Z was £145 (SD 101).
Replacing the modeled cost estimate with the reference cost for ESI as a day case caused the ICER to rise to £27,459 (CIs 16,779 – 70,0916,779
As a UK reference cost for microwave thermotherapy was unavailable we calculated it using manufacturers' data from the US, day case procedure NHS reference costs, and clinical expert opinion.
The unit costs for each procedure (PTCA, CABG, or cardiac transplant) were used in preference to the unit cost of an associated hospitalization as the reference cost for a procedure includes both these elements (the intervention and inpatient stay).
The cost of treatment was calculated as a weighted average reference cost for kidney infection or UTI with intermediate complications (HRG episode LA04E) or without complications (HRG episode LA04F).
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We subsequently assigned these codes a cost from the National Schedule of Reference Costs for NHS trusts.
†Based on upper and lower quartile of the reference costs for each item.
The costs of hospital admission for non-bacteraemic pneumococcal pneumonia were based on reference costs for pneumonia.
When the costs of condition specific procedures performed were unavailable, we applied day reference costs for gynaecology patients.
These codes were then mapped to HRG Healthcare Resource Groupp) codes using HRG4 Reference Cost Grouper software which were subsequently assigned a cost from the National Schedule of Reference Costs for NHS Trusts.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com