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.
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 cancerpatients. METHODS: A 6-year database of colon cancerpatients 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.
Authors: R Siegel; M A Cuesta; E Targarona; F G Bader; M Morino; R Corcelles; A M Lacy; L Påhlman; E Haglind; K Bujko; H P Bruch; M M Heiss; M Eikermann; E A M Neugebauer Journal: Surg Endosc Date: 2011-06-24 Impact factor: 4.584
Authors: T B Leal; T Holden; L Cavalcante; G O Allen; J R Schumacher; M A Smith; J M Weiss; H B Neuman; N K LoConte Journal: Ann Hematol Oncol Date: 2014
Authors: S C Bruin; Y He; I Mikolajewska-Hanclich; G-J Liefers; C Klijn; A Vincent; V J Verwaal; K A de Groot; H Morreau; M-L F van Velthuysen; R A E M Tollenaar; L J van 't Veer Journal: Br J Cancer Date: 2011-06-14 Impact factor: 7.640
Authors: Joo Hee Kim; Won Ho Kim; Tae Il Kim; Nam Kyu Kim; Kang Young Lee; Myeong-Jin Kim; Ki Whang Kim Journal: Yonsei Med J Date: 2007-12-31 Impact factor: 2.759