Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer.
Am J Surg
; 189(5): 512-7; discussion 517, 2005 May.
Article
em En
| MEDLINE
| ID: mdl-15862487
ABSTRACT
BACKGROUND:
The aims of this study were to assess the clinical utility of the practice of routine preoperative CT scanning and to determine its cost-effectiveness in colon cancer patients.METHODS:
A 6-year database of colon cancer patients treated at a veterans affairs medical was reviewed to determine the influence of preoperative CT scanning on clinical management. Cost analysis involved comparison of the institutional cost of CT scanning with the cost savings provided by avoiding nontherapeutic operations.RESULTS:
CT scans were obtained in 130 consecutive patients. CT scans provided information that was used in treatment planning in 43 (33%) patients and definitively altered the mode of treatment in 21 (16%) patients. The practice saved the institution $24,018 over 6 years.CONCLUSION:
Routine preoperative CT scanning definitively alters treatment in a small number of cases and is cost-effective.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
/
Neoplasias do Colo
Tipo de estudo:
Health_economic_evaluation
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2005
Tipo de documento:
Article