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Determining the cost of genital warts: A study from Ireland
  1. Anne Dee (anne.dee{at}oceanfree.net)
  1. Health Service Executive-Western Region, Eire
    1. Fenton Howell (fenton.howell{at}hse.ie)
    1. Health Service Executive, Eire
      1. Catherine O'Connor (catherine.oconnor{at}hse.ie)
      1. Mid-Western Regional Hospital, Eire
        1. Suzanne Cremin (suzannem.cremin{at}hse.ie)
        1. South Infirmary and Victoria University Hospitals, Eire
          1. Kate Hunter (katehunter23{at}hotmail.com)
          1. Health protection Surveillance Centre, Eire

            Abstract

            Objectives: To determine the average cost of a case of genital warts, for both males and females, with a view to informing the current debate as to which Human papillomavirus vaccine would have maximum cost-effectiveness in the Irish population.

            Methods: We prospectively measured contact time between patients and healthcare professionals at five Genitourinary Medicine clinics in the South-West of Ireland, over a period of three weeks. By identifying all those with genital warts, we were able to calculate the proportion of total time taken by patients with this condition, and from this we were able to calculate a cost per incident case, by gender.

            Results: A total of 25.5% of attendances were for genital warts, and these patients used 26.2% of total clinic time (CI 25.4% 27.0%). The average cost calculated for genital warts was €335 per incident case, and by gender was calculated as €300 per male case and €366 per female case.

            Conclusions: There are considerable costs associated with the treatment of genital warts, with female cases representing a higher cost than males. By vaccinating with the quadrivalent HPV vaccine, there are significant savings to be made.

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