Economic impact of CT scanning on the evaluation of pituitary adenomas
The medical and financial records of three cohorts of 20 consecutive patients with pituitary adenomas surgically treated in 1976, 1978, and 1980 were evaluated to assess the impact of changing technology on the cost of preoperative diagnostic evaluation. The average preoperative length of hospital s...
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| Veröffentlicht in: | AJR, Am. J. Roentgenol.; (United States) Am. J. Roentgenol.; (United States), 1983-03, Vol.140 (3), p.573-576 |
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| container_title | AJR, Am. J. Roentgenol.; (United States) |
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| creator | Newton, DR Witz, S Norman, D Newton, TH |
| description | The medical and financial records of three cohorts of 20 consecutive patients with pituitary adenomas surgically treated in 1976, 1978, and 1980 were evaluated to assess the impact of changing technology on the cost of preoperative diagnostic evaluation. The average preoperative length of hospital stay decreased from 6.8 days in 1976 to 1.9 days in 1980. The average diagnostic radiologic charge adjusted to 1980 dollars decreased from +1,747 in 1976 to +585 in 1980, while the radiologic bill as a percentage of the total hospital bill changed from 17.3% in 1976 to 11.9% in 1980. The decline in cost parameters coincided with the dramatic increase in the use of cranial computed tomography and the sharp reduction in the use of angiography and pneumoencephalography. These findings suggest that computed tomography is a highly efficacious technique for the evaluation of patients with suspected pituitary adenoma, resulting in significant savings in the costs of diagnostic evaluation. |
| doi_str_mv | 10.2214/ajr.140.3.573 |
| format | Article |
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The average preoperative length of hospital stay decreased from 6.8 days in 1976 to 1.9 days in 1980. The average diagnostic radiologic charge adjusted to 1980 dollars decreased from +1,747 in 1976 to +585 in 1980, while the radiologic bill as a percentage of the total hospital bill changed from 17.3% in 1976 to 11.9% in 1980. The decline in cost parameters coincided with the dramatic increase in the use of cranial computed tomography and the sharp reduction in the use of angiography and pneumoencephalography. These findings suggest that computed tomography is a highly efficacious technique for the evaluation of patients with suspected pituitary adenoma, resulting in significant savings in the costs of diagnostic evaluation.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.140.3.573</identifier><identifier>PMID: 6600553</identifier><language>eng</language><publisher>United States: Am Roentgen Ray Soc</publisher><subject>550602 - Medicine- External Radiation in Diagnostics- (1980-) ; Adenoma - diagnostic imaging ; Adenoma - economics ; Adenoma - surgery ; ADENOMAS ; BODY ; COMPUTERIZED TOMOGRAPHY ; COST ; Costs and Cost Analysis ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; DISEASES ; ECONOMIC IMPACT ; ENDOCRINE GLANDS ; GLANDS ; Humans ; NEOPLASMS ; ORGANS ; PATIENTS ; PITUITARY GLAND ; Pituitary Neoplasms - diagnostic imaging ; Pituitary Neoplasms - economics ; Pituitary Neoplasms - surgery ; RADIOLOGY AND NUCLEAR MEDICINE ; TOMOGRAPHY ; Tomography, X-Ray Computed - economics</subject><ispartof>AJR, Am. 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J. Roentgenol.; (United States)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The medical and financial records of three cohorts of 20 consecutive patients with pituitary adenomas surgically treated in 1976, 1978, and 1980 were evaluated to assess the impact of changing technology on the cost of preoperative diagnostic evaluation. The average preoperative length of hospital stay decreased from 6.8 days in 1976 to 1.9 days in 1980. The average diagnostic radiologic charge adjusted to 1980 dollars decreased from +1,747 in 1976 to +585 in 1980, while the radiologic bill as a percentage of the total hospital bill changed from 17.3% in 1976 to 11.9% in 1980. The decline in cost parameters coincided with the dramatic increase in the use of cranial computed tomography and the sharp reduction in the use of angiography and pneumoencephalography. These findings suggest that computed tomography is a highly efficacious technique for the evaluation of patients with suspected pituitary adenoma, resulting in significant savings in the costs of diagnostic evaluation.</description><subject>550602 - Medicine- External Radiation in Diagnostics- (1980-)</subject><subject>Adenoma - diagnostic imaging</subject><subject>Adenoma - economics</subject><subject>Adenoma - surgery</subject><subject>ADENOMAS</subject><subject>BODY</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>COST</subject><subject>Costs and Cost Analysis</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DISEASES</subject><subject>ECONOMIC IMPACT</subject><subject>ENDOCRINE GLANDS</subject><subject>GLANDS</subject><subject>Humans</subject><subject>NEOPLASMS</subject><subject>ORGANS</subject><subject>PATIENTS</subject><subject>PITUITARY GLAND</subject><subject>Pituitary Neoplasms - diagnostic imaging</subject><subject>Pituitary Neoplasms - economics</subject><subject>Pituitary Neoplasms - surgery</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>TOMOGRAPHY</subject><subject>Tomography, X-Ray Computed - economics</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM9LwzAYhoMoc06PHoXgwVtr0vxqjzI2FQZeJngLaZqukbaZTWrxvzey4U4fHzzf-_E-ANxilGYZpo_qc0gxRSlJmSBnYI4Z5QnBFJ-DOSIcJzkiH5fgyvtPhJDICzEDM84RYozMwXqlXe86q6Ht9koH6Gq43EKvVd_bfgddD0NjoPlW7aiCjWsE9jaMNqjhB6rKxGvlr8FFrVpvbo5zAd7Xq-3yJdm8Pb8unzaJJjkLiciZqPJa46okqNCcYlQgFmvonJWFobwWQmBcVoSWhBAar3LNuSmVQogYQRbg_pDrfLDSaxuMbmKD3uggWVYIgliEHg7QfnBfo_FBdtZr07aqN270MgrhPIuBC5AcQD047wdTy_1gu9hLYiT_5MooV0a5ksgoN_J3x-Cx7Ez1Tx9tnh43dtdMdjDSd6ptI43lNE2noF9gCoC1</recordid><startdate>198303</startdate><enddate>198303</enddate><creator>Newton, DR</creator><creator>Witz, S</creator><creator>Norman, D</creator><creator>Newton, TH</creator><general>Am Roentgen Ray Soc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>198303</creationdate><title>Economic impact of CT scanning on the evaluation of pituitary adenomas</title><author>Newton, DR ; Witz, S ; Norman, D ; Newton, TH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-7857d8fc1db309c6410905221c85b9e46f77711bd34b3334c388c66ebaa003e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>550602 - Medicine- External Radiation in Diagnostics- (1980-)</topic><topic>Adenoma - diagnostic imaging</topic><topic>Adenoma - economics</topic><topic>Adenoma - surgery</topic><topic>ADENOMAS</topic><topic>BODY</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>COST</topic><topic>Costs and Cost Analysis</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DISEASES</topic><topic>ECONOMIC IMPACT</topic><topic>ENDOCRINE GLANDS</topic><topic>GLANDS</topic><topic>Humans</topic><topic>NEOPLASMS</topic><topic>ORGANS</topic><topic>PATIENTS</topic><topic>PITUITARY GLAND</topic><topic>Pituitary Neoplasms - diagnostic imaging</topic><topic>Pituitary Neoplasms - economics</topic><topic>Pituitary Neoplasms - surgery</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>TOMOGRAPHY</topic><topic>Tomography, X-Ray Computed - economics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newton, DR</creatorcontrib><creatorcontrib>Witz, S</creatorcontrib><creatorcontrib>Norman, D</creatorcontrib><creatorcontrib>Newton, TH</creatorcontrib><creatorcontrib>Univ. of California Medical Center, San Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>AJR, Am. J. Roentgenol.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newton, DR</au><au>Witz, S</au><au>Norman, D</au><au>Newton, TH</au><aucorp>Univ. of California Medical Center, San Francisco</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Economic impact of CT scanning on the evaluation of pituitary adenomas</atitle><jtitle>AJR, Am. J. Roentgenol.; (United States)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1983-03</date><risdate>1983</risdate><volume>140</volume><issue>3</issue><spage>573</spage><epage>576</epage><pages>573-576</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><abstract>The medical and financial records of three cohorts of 20 consecutive patients with pituitary adenomas surgically treated in 1976, 1978, and 1980 were evaluated to assess the impact of changing technology on the cost of preoperative diagnostic evaluation. The average preoperative length of hospital stay decreased from 6.8 days in 1976 to 1.9 days in 1980. The average diagnostic radiologic charge adjusted to 1980 dollars decreased from +1,747 in 1976 to +585 in 1980, while the radiologic bill as a percentage of the total hospital bill changed from 17.3% in 1976 to 11.9% in 1980. The decline in cost parameters coincided with the dramatic increase in the use of cranial computed tomography and the sharp reduction in the use of angiography and pneumoencephalography. These findings suggest that computed tomography is a highly efficacious technique for the evaluation of patients with suspected pituitary adenoma, resulting in significant savings in the costs of diagnostic evaluation.</abstract><cop>United States</cop><pub>Am Roentgen Ray Soc</pub><pmid>6600553</pmid><doi>10.2214/ajr.140.3.573</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0361-803X |
| ispartof | AJR, Am. J. Roentgenol.; (United States), 1983-03, Vol.140 (3), p.573-576 |
| issn | 0361-803X 1546-3141 |
| language | eng |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | 550602 - Medicine- External Radiation in Diagnostics- (1980-) Adenoma - diagnostic imaging Adenoma - economics Adenoma - surgery ADENOMAS BODY COMPUTERIZED TOMOGRAPHY COST Costs and Cost Analysis DIAGNOSIS DIAGNOSTIC TECHNIQUES DISEASES ECONOMIC IMPACT ENDOCRINE GLANDS GLANDS Humans NEOPLASMS ORGANS PATIENTS PITUITARY GLAND Pituitary Neoplasms - diagnostic imaging Pituitary Neoplasms - economics Pituitary Neoplasms - surgery RADIOLOGY AND NUCLEAR MEDICINE TOMOGRAPHY Tomography, X-Ray Computed - economics |
| title | Economic impact of CT scanning on the evaluation of pituitary adenomas |
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