Navigation Links
Imaging costs rising faster than total cancer care for Medicare
Date:4/27/2010

DURHAM, N.C. The cost of imaging studies in cancer patients covered by Medicare is growing at twice the rate of the overall costs of cancer care in that group, according to scientists in the Duke Clinical Research Institute (DCRI). A dramatic increase in PET scans is leading the way.

Imaging is the fastest growing expense for Medicare, but until now, it has not been analyzed as a specific component of care within the cancer population.

The study results appear in the April 28 issue of the Journal of the American Medical Association.

Duke researchers examined the use and costs of eight different imaging technologies among roughly 100,000 patients newly diagnosed with various types of cancer (breast, lung, prostate, colon, leukemia and lymphoma) between 1999 and 2006. They found that while overall 2-year costs per patient increased annually at a rate of 2 to 5 percent, the cost of imaging rose between 5 and 10 percent per patient. "Patients are undergoing more imaging studies. As newer, more expensive imaging technologies are used more frequently, the overall cost of imaging is going to increase", says Michaela Dinan, a doctoral student working in the DCRI and the lead author of the study.

Even though imaging costs are rising much more rapidly than the costs of overall cancer care, imaging costs comprise only 6 percent of the total Medicare medical budget for cancer patients, the authors say.

The use of PET scans (positron emission tomography) grew the fastest, according to Dinan. In each cancer type, the number of PET scans per beneficiary increased at a mean annual growth rate of 36 to 53 percent, however the total number of PET scans remained low.

PET scans, which reveal functional as well as anatomical information about tumors, are a relatively recent innovation, and only in the past few years have professional guidelines recommended they be used in the management of some cancers. PET scans can be six times as expensive as CT (computed tomography).

"At the beginning of the study, Medicare didn't pay for PET and almost no one was receiving PET, but by 2005, roughly half of all lung cancer and lymphoma patients were getting one or more PET scans within two years of their diagnosis," says Dinan.

The study showed that in 1999, newly diagnosed lung cancer patients had, on average, about 21 imaging studies during the first two years of their treatment. By 2006, they were undergoing about 24 studies. Patients with lung cancer and lymphoma faced the highest imaging costs among all cancer patients, more than $3,000 on average during the first two years of treatment.

Researchers also found that bone density studies became much more popular during the study period. Dinan says the proportion of patients with breast cancer receiving bone density studies nearly doubled by the end of the study, with approximately one-third of all patients receiving one or more scans by 2005.

Some health policy experts predicted higher rates of advanced imaging use and costs in the wake of the 2003 Medicare Modernization Act, which slashed reimbursement rates for chemotherapy services. But Kevin Schulman, MD, professor of medicine at Duke and associate director of the DCRI says, "We definitely saw an increase in the most costly imaging services for patients with cancer. However, we can't determine whether the trends we observed were a direct response to the reimbursement changes in 2003. Use of imaging increased throughout the study period, both before and after the reimbursement changes."

But study co-author Edward Patz Jr., MD, James and Alice Chen professor of radiology, professor in pharmacology and cancer biology at Duke and a specialist in lung cancer imaging, says that regardless of what is driving higher use and costs, patients should be aware that "more" is not necessarily "better" when it comes to imaging. "When it comes to more imaging studies, we should consider more rational care care based on evidence that demonstrates greater numbers of imaging studies will make a difference clinically."


'/>"/>

Contact: Michelle Gailiun
michelle.gailiun@duke.edu
919-724-5343
Duke University Medical Center
Source:Eurekalert

Related medicine news :

1. Use and costs of diagnostic imaging increasing for patients with cancer
2. Imaging Costs Soar for Medicare Cancer Patients
3. JACC: Cardiovascular Imaging now abstracted and indexed by Thomson Reuters
4. Startup to develop new solid-state technology at UCLA for use in medical imaging
5. FDA, SNM and RSNA host April 13-14 two-topic imaging workshop
6. Direct patient access to imaging test results could result in increased patient anxiety and physician overload
7. ESC supports appropriate use of nuclear imaging technology
8. Midroog Ltd., an Affiliate of Moodys Investors Services, Rates Potential new Debt of Elbit Imaging
9. ModiFace Launches VuMe in Southern Florida – the World's First Full-Featured Touch-Screen Cosmetic Surgery Imaging System
10. Imaging fat layer around heart can help predict disease
11. Promega - TOP srl Agreement Enables Live Animal Imaging for Cancer Studies
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... Vail knee specialist ... Leaders to Know in 2016 . The list consists of physicians establishing, leading and ... establish this list. , An Ambulatory Surgery Center, also known as an ASC, ...
(Date:2/12/2016)... ... February 12, 2016 , ... Miami Dental Specialists is excited ... their Miami dental office. Beginning in January, Miami Dental Specialists will offer the non-metal ... are the first office to be chosen by the dental implant manufacturer, Straumann, to ...
(Date:2/12/2016)... OR (PRWEB) , ... February 12, 2016 , ... ... an article about foods choices that promote eye health. These articles generally list ... health. Water and health advocate Sharon Kleyne endorses every one of these lists ...
(Date:2/12/2016)... ... February 12, 2016 , ... A lot has been reported about the ... has access to health and wellness resources most Americans could ever dream of having ... has a schedule as frenetic as the U.S. President. , In honor of ...
(Date:2/12/2016)... ... February 12, 2016 , ... Yisrayl Hawkins, Pastor and ... this week that uncovers what he says are the real facts surrounding all those ... Bible from parents and Sunday school teachers, and Yisrayl says there is more to ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... Lilly and Company (NYSE: LLY ) today announced that ... regimen patent would not presently be infringed by Actavis marketing ... Italy and Spain ... solution.  --> --> ... that Lilly,s patent would be indirectly infringed by Actavis marketing ...
(Date:2/12/2016)... , 12 februari 2016 AAIPharma ... toonaangevende leverancier van productie en ontwikkeling op ... kondigt vandaag een uitbreiding aan van steriele ... locatie in Charleston, SC ... tot meerdere recente investeringen. http://photos.prnewswire.com/prnh/20150806/256637LOGO ...
(Date:2/12/2016)... Maharashtra, February 12, 2016 ... report titled Chronic Inflammation Global Clinical Trials Review, ... of the global clinical trials landscape along with ... by Region, Country (G7 & E7), Trial Status, ... and reviews top companies involved and enlists all ...
Breaking Medicine Technology: