Navigation Links
Diagnosis, treatment of common outpatient disorder adds $238 million a year in ER costs

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
Henry Ford Health System

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 –
11. Monroe, CT Periodontist, Dr. Richard Amato Brings Modern Laser Gum Surgery to Local Patients Seeking Advanced Gum Disease Treatment
Post Your Comments:
(Date:6/27/2016)... ... June 27, 2016 , ... ... announced today its affiliation with Tennessee Counseling Association. This new relationship ... of the Tennessee Counseling Association, adding exclusive benefits and promotional offers. , "TCA ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... On June ... sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in Battle Creek, ... of the city’s history as home to some of the world’s leading providers of ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, ... work on several important health care topics including advance care planning, healthcare costs ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern ... Laude and his M.D from the David Geffen School of Medicine at UCLA. He ... Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program ...
(Date:6/24/2016)... ... 24, 2016 , ... Those who have experienced traumatic events may suffer from ... avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid this ... coping following a traumatic event. , Trauma sufferers tend to feel a range of ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... today announced the appointment of Dr. Edward ... as a Non-Executive Director, effective June 23, 2016.Dr. ... Compensation and Nominations and Governance Committees.  As a ... will provide independent expertise and strategic counsel to ...
(Date:6/23/2016)... 2016  MedSource announced today that it has ... solution of choice.  This latest decision demonstrates MedSource,s ... their clients by offering a state-of-the-art electronic data ... nowEDC as the EDC platform of choice in ... "nowEDC has long been a preferred EDC platform ...
Breaking Medicine Technology: