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Table 3 Health care costs for patients with NAFLD/ NASH (£, 2014–2015)

From: Cost-comparison analysis of FIB-4, ELF and fibroscan in community pathways for non-alcoholic fatty liver disease

Resource Use Unit Cost Reference
Primary Care
 GP consultation (per patient contact lasting 11.7 min) £45.00 [48]
Secondary care
 Hepatology Consultant appointment (new) £148.34 Royal Free, February 2015
 Hepatology Consultant follow up appt £98.63 Royal Free, February 2015
 Dietician review £57.00 Royal Free, February 2015
Investigations
 Routine blood tests (inc. FBC, LFT’s, INR) £68.06 Royal Free, February 2015
 Liver aetiology panel £147.98 Royal Free, February 2015
 FIB-4 (AST/ALT/ platelets included in ‘routine blood tests’) £0.00 Royal Free, February 2015
 ELF £42.00 North Middlesex Hospital, February 2015,
 Ultrasound Liver £63.67 Royal Free, February 2015
 CT Abdomen/ Liver £80.78 Royal Free, February 2015
 MRI Abdomen/ Liver £101.00 Royal Free, February 2015
 Fibroscan £43.00 Royal Free, February 2015
 Liver biopsy £642.75 Royal Free, February 2015
 Endoscopy £264.00 Royal Free, February 2015
Surgical procedures
 Liver resection £7000 [49]
 Liver transplant (1st year) £70,000 [19, 49, 50], Royal Free, February 2015