Genital wart (GW) management
Management recorded | Female GW patients | Male GW patients | ||
Rate per 100 GW (95% CI) | Weighted cost* ($A) | Rate per 100 GW (95% CI) | Weighted cost* ($A) | |
Medication† | 30.35 (24.71 to 35.99) | – | 26.28 (20.71 to 31.85) | – |
Imiquimod | 13.29 (9.60 to 16.99) | 21.26 | 9.56 (5.95 to 13.16) | 15.29 |
Podophyllum resin based | 13.01 (8.60 to 17.41) | 2.66 | 12.97 (8.78 to 17.16) | 4.69 |
Non-pharmacological treatments | 74.28 (66.96 to 81.59) | – | 79.18 (72.05 to 86.32) | – |
Ablative treatments‡ | 37.28 (31.0 to 43.6) | – | 59.73 (53.3 to 66.2) | – |
Counselling§ | 29.2 (23.94 to 34.44) | – | 18.4 (13.96 to 22.90) | |
Referrals¶ | 15.90 (11.81 to 19.99) | 16.58** | 7.85 (4.60 to 11.10) | 8.43** |
Specialists | 14.16 (10.27 to 18.06) | (14.76) | 6.83 (3.92 to 9.73) | (7.34) |
Pathology | 30.35 (20.22 to 40.48) | – | 18.43 (9.36 to 27.50) | – |
Pap smear | 6.94 (4.22 to 9.66) | – | NA | NA |
Hepatitis serology | 4.34 (1.2 to 7.4) | – | 5.80 (2.1 to 9.5) | – |
Chlamydia | 4.34 (2.1 to 6.6) | – | 2.39 (0.6 to 4.2) | – |
HIV | 3.47 (1.6 to 5.4) | – | 3.07 (1.1 to 5.1) | – |
Venereal disease | 2.60 (0.9 to 4.3) | – | 3.07 (0.9 to 5.3) | – |
Total management cost per consultation | – | 40.51 | – | 28.42 |
↵* Weighted costs were calculated by multiplying the treatment rate by the corresponding treatment cost. For specialist referrals, treatment costs were estimated as=proportion of patients with Healthcare Card (HCC)×Medicare Benefits Schedule (MBS) benefit+proportion of patients without HCC×MBS benefit×patient billed relativity.
↵† Includes medication prescribed, recommended or supplied.
↵‡ Includes excision/removal tissue/biopsy/destruction /debridement/cauterisation.
↵§ Includes counselling/problem; counsel/advice—STDs; advice/education; advice/education—medication; reassurance/support; counselling—psychological; and Excludes counsel/advice—smoking and counsel/advice—pregnancy.
↵¶ Includes referrals to specialists, hospital outpatient departments and specialist clinics/clinics (eg, sexual-health clinics).
↵** Assigns total costs of initial attendance specialist, referred consultation, to all referrals.