Skip to main content

Table 2 Healthcare and Testing costs for all individuals and asthma medications for individuals for whom the diagnosis of asthma was excluded

From: (Correcting) misdiagnoses of asthma: a cost effectiveness analysis

Item

Costs per visit/test

Reference

Physician consultations

 

Ontario Schedule of Benefits 2008

Respiratory disease consult

$143.40

 

GP Limited consultation

$44.65

 

Emergency Department Assessment

$187.76

Ontario Ministry of Health: Gaboury 2009

Spirometry B (Visit 1)

 

Ontario Schedule of Benefits 2008

Flow Volume Loop

$28.80

 

Repeat after bronchodilator

$8.63

 

Total

$37.43

 

Bronchial provocative testing (Visits 2, 3 and 4)

$80.45

Ontario Schedule of Benefits 2008

Total Cost of Screening

  

Visit 1 only (11.2%)

$180.83*

 

Visits 1 and 2 only (80.2%)

$261.28*

 

Visits 1, 2 and 3 only (3.3%)

$341.73*

 

All Visits (5.3%)

$422.18*

 

Average cost of Screening for all patients

$263.42 (95%CI $259.15 - $267.68)

Average cost of Screening for Non-Asthmatic patients

$288.10 (95%CI $278.94 - $297.25)

Study Medication

Number of individuals (%)

SABA** as needed only

26 (23.9%)

SABA daily only

1 (0.9%)

ICS# as needed only

3 (2.8%)

ICS daily only

1 (0.9%)

ICS as needed plus SABA

23 (21.1%)

ICS daily plus SABA

12 (11.0%)

COMBO## as needed only

6 (5.5%)

COMBO as needed plus other medications

13 (11.9%)

COMBO daily only

2 (1.8%)

COMBO daily plus other medications

17 (15.6%)

Leukotriene Antagonist (all combinations)

5 (4.6%)

  1. * Includes the costs of a respiratory disease specialist consultation
  2. ** SABA - Short-acting β-agonist
  3. # ICS - Inhaled corticosteroids
  4. ## COMBO - combination therapy with ICS and long-acting β-agonist