12 HEALTHCARE RESOURCES Table 7. List of resources to be considered in the economic analysis Proportion of Number of units of Disaggregated unit cost Setting in which Provider of patients resource per relevant resource is Other government Private health resource receiving time horizon per patient MBS Safety nets* Patient Total cost provided budget insurer resource receiving resource Resources provided to identify eligible population MBS Item 104 Specialist TBA TBA Initial Consultation (urologist or Consulting rooms $85.55 urogynaecologist) Resources provided to deliver proposed intervention Administration of percutaneous Specialist Consulting rooms, TBA TBA tibial nerve stimulation (urologist or day surgery or urogynaecologist) outpatient clinic Urgent PC Neuromodulation Specialist Consulting rooms, TBA TBA $1,950.00 System Stimulator (urologist or day surgery or One off cost – urogynaecologist) outpatient clinic for treatment centre. Urgent PC Neuromodulation Specialist Consulting rooms, TBA TBA $120.00 System Needle Electrode (urologist or day surgery or per treatment. – urogynaecologist) outpatient clinic Resources provided in association with proposed intervention MBS Item 23 Consulting rooms TBA $37.05 TBA Consultation to treat occurrence of PTNS therapy side-effect Resources provided to deliver comparator 1: Sacral nerve stimulation Peripheral nerve evaluation MBS Item 104 Specialist Consulting rooms TBA TBA Specialist consultation (urologist or or hospital $85.55 urogynaecologist) MBS Item 36666 Specialist TBA TBA Pleacement of sacral nerve pulse (urologist or Surgical $334.00 generator urogynaecologist) MBS Item 32213 36663 Specialist Surgical TBA TBA Placement of sacral nerve leads. (urologist or $660.95 urogynaecologist) MBS Item 60503 Specialist TBA TBA Fluoroscopy (urologist or Surgical $29.75 urogynaecologist)
12 HEALTHCARE RESOURCES Table 7. List of resources to be considered in the economic analysis Provider of resource Setting in which resource is provided Proportion of patients receiving resource Number of units of resource per relevant time horizon per patient receiving resource Disaggregated unit cost MBS Safety nets* Other government budget Private health insurer Patient Total cost Resources provided to identify eligible population MBS Item 104 Initial Consultation Specialist (urologist or urogynaecologist) Consulting rooms TBA $85.55 TBA Resources provided to deliver proposed intervention Administration of percutaneous tibial nerve stimulation Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA Urgent PC Neuromodulation System – Stimulator Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA $1,950.00 One off cost for treatment centre. Urgent PC Neuromodulation System – Needle Electrode Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA $120.00 per treatment. Resources provided in association with proposed intervention MBS Item 23 Consultation to treat occurrence of PTNS therapy side-effect Consulting rooms TBA $37.05 TBA Resources provided to deliver comparator 1: Sacral nerve stimulation Peripheral nerve evaluation MBS Item 104 Specialist consultation Specialist (urologist or urogynaecologist) Consulting rooms or hospital TBA $85.55 TBA MBS Item 36666 Pleacement of sacral nerve pulse generator Specialist (urologist or urogynaecologist) Surgical TBA $334.00 TBA MBS Item 32213 36663 Placement of sacral nerve leads. Specialist (urologist or urogynaecologist) Surgical TBA $660.95 TBA MBS Item 60503 Fluoroscopy Specialist (urologist or urogynaecologist) Surgical TBA $29.75 TBA
1399-PercutaneousTibialNerveStimulation-FinalProtocol.docx