Navigation Links
Diagnosis, treatment of common outpatient disorder adds $238 million a year in ER costs
Date:5/4/2013

SAN DIEGO A relatively common urinary tract disorder that can usually be managed in an outpatient setting is adding an estimated $238 million a year to the cost of emergency room visits in the U.S., according to two new studies from Henry Ford Hospital in Detroit.

Hematuria, or blood in the urine, adds a "considerable" and "substantial" economic burden on already strained hospital emergency departments, says Khurshid R. Ghani, M.D., of Henry Ford's Vattikuti Urology Institute and lead author of the studies.

"Our findings suggest that hematuria ED visits could be used as a measurable indicator for the quality and type of care in Accountable Care Organizations," Dr. Ghani adds, referring to the health care networks included in the Affordable Care Act, which are intended to reduce costs while linking reimbursement to the quality of care for Medicare patients.

Results will be presented May 4 and 6 at the annual meeting of the American Urological Association in San Diego.

The studies set out to determine how often hematuria was the primary reason for emergency room visits, how much they cost and what part of that cost involves imaging radiography, ultrasound, CT and MRI scanning and other costly diagnostic tests.

Drawing on data from the Nationwide Emergency Department Sample, which contains as many as 30 million records for ED visits to more than 950 U.S. hospitals, the researchers identified 718,914 patient visits from the start of 2006 through the end of 2009 in which hematuria was the primary diagnosis.

Among these, 94,978 patients or 13.2 percent underwent an imaging procedure while in the emergency room. The researchers also found that the incidence of imaging for hematuria during the four-year study period rose from 6.56 to 9.39 per 100,000 person years.

Further, Dr. Ghani and his colleagues assembled all reimbursement claims for diagnostic imaging related to those visits.

They found that emergency department costs for hematuria patients, adjusted for inflation, were estimated at more than $237 million a year. The median charge without diagnostic imaging was $1,138 compared to $4,300 with imaging.

"Imaging alone was associated with an increase in ED charges of more than $75 million per year," Dr. Ghani says.

The researchers also learned that patients were less likely to undergo imaging if they were seen at hospitals outside of metropolitan areas and at hospitals in the Midwest, and if they were covered by Medicaid and Medicare rather than private health insurance.

Noting that the Henry Ford study of imaging incidence and costs in hospital emergency departments is a first, Dr. Ghani says, "The economic burden is substantial and a cause for concern.

"Hematuria constitutes a considerable burden on economic resources in the ED, and it will require concerted efforts by all stakeholders to reduce both the use of imaging in diagnosing the disorder in that setting, and the costs associated with it."


'/>"/>

Contact: Dwight Angell
dwight.angell@hfhs.org
313-850-3471
Henry Ford Health System
Source:Eurekalert

Related medicine news :

1. Mast cells give clues in diagnosis, treatment of dengue
2. Updated Criteria Improve Heart Attack Diagnosis, From the February 2013 Harvard Heart Letter
3. Early breast cancer diagnosis, survival rates low in rural India
4. Age, not underlying diagnosis, key factor in weight gain in children after tonsillectomy
5. Years before diagnosis, quality of life declines for Parkinsons disease patients
6. ASCO: Younger colon cancer patients have worse prognosis at diagnosis, yet better survival
7. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Announces New Medical Weight Loss Price Match Guarantee
8. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Have Created New Healthy Diet Plans to Combat Between Meal Food Cravings
9. Thrush Treatment
10. How “The 3 Day Thrush Cure” Can Help People Treat Thrush Naturally – HealthReviewCenter.com
11. Monroe, CT Periodontist, Dr. Richard Amato Brings Modern Laser Gum Surgery to Local Patients Seeking Advanced Gum Disease Treatment
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... , ... October 12, 2017 , ... ... Hair Restoration, has recently contributed a medical article to the newly revamped ... Dr. Mohebi’s article spotlights the hair transplant procedure known as Follicular Unit ...
(Date:10/12/2017)... ... ... Leading pediatric oncology experts at Children’s National Health System will join ... International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired by Jeffrey Dome, ... at Children’s National, and Stephen P. Hunger, M.D., Chief of the Division of ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... been named one of Michigan’s 2017 Best and Brightest in Wellness® by Best ... in Wellness® awards program on Friday, Oct. 20 from 7:30 a.m. to 2 ...
(Date:10/12/2017)... BALTIMORE (PRWEB) , ... October 12, 2017 , ... ... average of $3,296 in property taxes a year. In some states—like New York, ... higher. , By contrast, many overseas retirement havens have extremely low property-tax rates, ...
(Date:10/12/2017)... ... 2017 , ... Farm Forward joins Bon Appétit ... institutions in announcing the launch of the Leadership Circle , a program ... raised for food. , Founding members of the Leadership Circle also include Airbnb’s ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... , Oct. 12, 2017 West ... in innovative solutions for injectable drug administration, today announced ... the market opens on Thursday, October 26, 2017, and ... results and business expectations at 9:00 a.m. Eastern Time. ... or 253-336-8738 (International). The conference ID is 94093362. ...
(Date:10/11/2017)...  Hill-Rom Holdings, Inc. ("Hill-Rom") (NYSE: HRC), today provided ... Piedras, Puerto Rico , where the ... Following a comprehensive onsite ... structural damage, temporary loss of power and minimal water ... manufacturing operations have resumed, and the company expects to ...
(Date:10/5/2017)... ROSEMONT, Ill. , Oct. 5, 2017 /PRNewswire-USNewswire/ ... American Association of Oral and Maxillofacial Surgeons (AAOMS) ... than opioids – to be used as a ... post-surgical pain. ... relationship, the AAOMS White Paper "Opioid Prescribing: Acute ...
Breaking Medicine Technology: