Navigation Links
Imaging Costs Soar for Medicare Cancer Patients

Whether more scans are wasteful or improve outcomes isn't known, experts say

TUESDAY, April 27 (HealthDay News) -- Among cancer patients on Medicare, the costs for medical scans have increased twice as fast as overall costs for cancer care, Duke University researchers report.

"There has been a significant increase in the utilization of imaging services for cancer patients since 1999, especially advanced imaging services such as CAT scans, MRI and PET scans -- the most expensive studies," said lead researcher Dr. Kevin A. Schulman, a professor of medicine and business administration and associate director of the Duke Clinical Research Institute.

Schulman noted that more scans do not necessarily result in better treatment or outcomes. Patients, he added, can play a role in limiting the number of unnecessary scans.

"It's OK to ask your physicians why they are ordering an imaging test and how you might benefit from the result," he said.

The Duke report is published in the April 28 issue of the Journal of the American Medical Association.

For the study, Schulman's group collected data on imaging costs of 100,954 cancer patients on Medicare who were diagnosed with breast, lung, prostate or colon cancer, leukemia or lymphoma between 1999 and 2006.

The researchers found that while overall costs for treating these patients rose 2 percent to 5 percent a year, the cost for imaging scans increased between 5 percent and 10 percent.

Although the costs for imaging increased faster than costs for overall care, imaging costs make up only about 6 percent of Medicare costs for each patient, the researchers noted.

The most growth was seen in the number of PET scans. The average annual number of PET scans grew from 36 percent to 53 percent, but they still remain the least-used scanning technology. However, these scans are the most expensive, running as much as six times higher than CT scans.

When PET scans were first introduced, Medicare did not pay for them, but by 2005 about 50 percent of patients with lung cancer and lymphoma were getting one or more PET scans, Schulman noted.

In 1999, patients diagnosed with lung cancer had about 21 imaging scans during the first two years of treatment. By 2006, that had increased to 24.

The highest imaging costs were for patients with lung cancer and lymphoma, averaging $3,000 during the first two years of treatment, the researchers found.

In addition, bone density studies increased in popularity. In fact, the number of breast cancer patients getting bone density studies almost doubled by 2005, with about one-third of all patients receiving one or more scans.

Michael T. French, a professor of economics, epidemiology and public health at the University of Miami, isn't surprised that these costs have gone up so dramatically.

"Imaging has advanced considerably in recent years," he said. "So, it's logical that it would be used more often, and along with the higher costs of increased use are the costs of improved technology."

French thinks that some of the increased use of imaging is related to increased reimbursement and competitiveness among hospitals. "Is there excessive use of imaging to improve profits? Yes," French said.

In addition, there is a defensive aspect to the increased use of imaging, French said. "If the technology is present and physicians don't use it, then if something happens to the patient there is a possibility for a lawsuit," he said.

The bottom-line question is how imaging is being used, French said. "It's a question of whether it's wasteful or whether it's higher cost to produce better outcomes," French said. "Right now, we don't know what all this leads to in terms of better outcomes."

More information

For more information on cancer, visit the American Cancer Society.

SOURCES: Kevin A. Schulman, M.D., M.B.A., professor, medicine and business administration, and associate director, Duke Clinical Research Institute, Duke University, Durham, N.C.; Michael T. French, Ph.D., professor, economics, epidemiology and public health, University of Miami; April 28, 2010, Journal of the American Medical Association

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. New Study Demonstrates Novel Use of Metabolic Imaging to Locate Sperm in Infertile Men -- Non-Invasive Imaging Procedure May Replace Invasive Techniques such as Testicula
2. New paper describes important advance in imaging of cell death
3. Promising new neuroimaging techniques for early detection of Alzheimers disease
4. Major Imaging Initiative to Shed Light on Little Known Brain Disease
5. Diffusion tensor imaging increases ability to remove benign tumors in children
6. Visage Imaging and Definiens Announce Partnership
7. Criteria based on CT imaging after chemotherapy may help predict survival
8. CT imaging taken post avastin may predict survival in patients with metastatic colorectal cancer
9. The European Society of Cardiology Textbook of Cardiovascular Imaging puts patient at center
10. CT Scan Patients May Get Unnecessary Imaging
11. Acuo Technologies Announces a New Offering That Enables Sharing of Imaging Studies Securely and Affordably
Post Your Comments:
(Date:11/24/2015)... M.D. (PRWEB) , ... November 24, 2015 , ... ... new award for its exceptional customer service: the TrustDale certification. The award recognizes ... The Baltimore stone honing , tile and grout, and hard surface restoration ...
(Date:11/24/2015)... ... November 24, 2015 , ... Autism Speaks, the world’s leading ... driven by social media and the generosity of people around the world. On December ... media networks to give – and share the personal stories behind those gifts. ...
(Date:11/24/2015)... ... ... Peck’s mother wondered if she was a descendant of Samuel Fuller, a passenger on the ... for information, Don and his aunt discovered that she was not, in fact, related to ... Don’s father who was descended from not one, but four passengers on the famed ship ...
(Date:11/24/2015)... ... 2015 , ... Dehydration, defined as a loss of body water content, can ... sun, and heat stroke and death will quickly follow. A normal human body is ... cell, system and structure requires water to function properly. Kleyne, who believes that medical ...
(Date:11/24/2015)... CA (PRWEB) , ... November 24, 2015 , ... ... College District , the only authorized OSHA Training Institute Education Center in Northern ... injuries during the holiday season’s major sales events. As the volume of ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... , Nov. 24, 2015  Array BioPharma Inc. ... Chief Executive Officer, Ron Squarer , will ... in New York.  The public is welcome to ... the Array BioPharma website.Event:Piper Jaffray Annual Healthcare ConferencePresenter:  ... December 2, 2015Time:1:30 p.m. Eastern Time Webcast: ...
(Date:11/24/2015)... , 24. November 2015 ... Breathing Pacemaker Systems, ist erfreut, die Berufung ... Consultant bekannt geben zu können. ...   --> Foto - ... (Schweden). Von 1984-1986 war er Fellow ...
(Date:11/24/2015)... , Nov. 24, 2015 Avery Biomedical Devices ... pleased to announce the appointment of Anders Jonzon ... Dr. Jonzon is ... at Children,s Hospital, Uppsala University, Uppsala and Children,s Hospital, ... he was a fellow at the Cardiovascular Institute (UCSF). ...
Breaking Medicine Technology: