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Use of Preoperative MR imaging in the management of endometrial carcinoma : Cost analysis

HARDESTY, L. A ; SUMKIN, J. H ; NATH, M. E ; EDWARDS, R. P ; PRICE, F. V ; CHANG, T. S ; JOHNS, C. M ; KELLEY, J. L

Radiology, 2000-04, Vol.215 (1), p.45-49 [Periódico revisado por pares]

Oak Brook, IL: Radiological Society of North America

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Título:
Use of Preoperative MR imaging in the management of endometrial carcinoma : Cost analysis
Autor: HARDESTY, L. A ; SUMKIN, J. H ; NATH, M. E ; EDWARDS, R. P ; PRICE, F. V ; CHANG, T. S ; JOHNS, C. M ; KELLEY, J. L
Assuntos: Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy - economics ; Carcinoma, Endometrioid - diagnosis ; Carcinoma, Endometrioid - pathology ; Carcinoma, Endometrioid - surgery ; Costs and Cost Analysis ; Dissection ; Endometrial Neoplasms - diagnosis ; Endometrial Neoplasms - pathology ; Endometrial Neoplasms - surgery ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; Hysterectomy ; Insurance, Health, Reimbursement - economics ; Intraoperative Care ; Lymph Node Excision - economics ; Lymph Nodes - pathology ; Magnetic Resonance Imaging - economics ; Medical sciences ; Medicare - economics ; Middle Aged ; Neoplasm Staging ; Preoperative Care ; Retrospective Studies ; Tumors ; United States ; Uterus - pathology
É parte de: Radiology, 2000-04, Vol.215 (1), p.45-49
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: To compare the cost of magnetic resonance (MR) imaging and its ability to direct the use of lymph node dissection with the cost and ability of conventional surgery for the staging of endometrial carcinoma. Preoperative MR images of 25 patients who underwent hysterectomy for endometrial carcinoma were retrospectively evaluated. MR imaging results were compared with those of intraoperative gross dissection of the uterus and final histopathologic examination. Medicare reimbursements for two scenarios were compared in each patient. In the MR imaging scenario, the necessity for lymph node dissection was based on MR imaging results and histologic findings at biopsy. In the actual scenario, lymph node dissection was performed at the surgeon's discretion on the basis of findings at gross dissection of the uterus and histologic examination at biopsy. The cost of the MR imaging scenario, as defined by Medicare reimbursements, was 1% ($1, 265/$148,500) less than that of the actual scenario. In the MR imaging scenario, all patients who required lymph node dissection received it, and 86% of the lymph node dissections performed were necessary. In the actual scenario, one necessary lymph node dissection was not performed, and only 31% of the lymph node dissections performed were necessary. Staging with MR imaging has costs and accuracy similar to those of the current method of staging with intraoperative gross dissection of the uterus. In addition, MR imaging decreases the number of unnecessary lymph node dissections.
Editor: Oak Brook, IL: Radiological Society of North America
Idioma: Inglês

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Use of Preoperative MR imaging in the management of endometrial carcinoma : Cost analysis

HARDESTY, L. A ; SUMKIN, J. H ; NATH, M. E ; EDWARDS, R. P ; PRICE, F. V ; CHANG, T. S ; JOHNS, C. M ; KELLEY, J. L

Oak Brook, IL: Radiological Society of North America

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