Navigation Links
Physicians order costly, redundant neuroimaging for stroke patients, study says
Date:3/5/2012

Neuroimaging for stroke patients may be unnecessarily costly and redundant, contributing to rising costs nationwide for stroke care, according to University of Michigan research.

The research, published in the Annals of Neurology, found that 95 percent of stroke patients who received magnetic resonance imaging (MRI) also had a computed tomography (CT) scan.

"Compared to CT, MRI is a more accurate test for stroke," says James F. Burke, M.D., lead author of the study and a clinical lecturer in the University of Michigan Medical School's Department of Neurology. "But our results showed that MRI is not replacing CT as the primary stroke neuroimaging study instead, patients are getting both.

"Minimizing the use of multiple studies could be a viable strategy to reduce costs."

The costs of inpatient stroke care have climbed by 42 percent between 1997 and 2007, an increase of $3,800 per case, Burke and his University of Michigan found. Neuroimaging MRIs and CTs were the largest driver of costs.

Diagnostic imaging has been the fastest growing component of total hospital costs, increasing 213 percent from 1999 to 2007.

"The data shows that neuroimaging practices in stroke are neither standardized or efficient," Burke says. "This represents an area where we have an opportunity to substantially reduce the cost of care without adversely effecting the quality of care."

Burke's research spurred an accompanying editorial in the Annals, written by editors S. Clairborne Johnson, M.D., Ph.D. and Stephen L. Hauser, M.D.

"The issue of duplicative imaging in stroke is just one example of wasteful care," the editors wrote. "Quite simply, it is very easy to order more test and to treat with more expensive therapies

"We should track waste as another measure of quality care The failure to find a political solution to rising healthcare costs only increases our responsibility to become leaders and not victims."

Burke and his co-authors studied patients diagnosed with stroke from 1999 to 2008 in 11 states, studying 624,842 patients. They found wide geographic variation for the use of MRI, but overall the use of MRI jumped dramatically.

"There currently is not evidence-based guidelines that preferentially recommend either MRIs or CT," Burke says. "Understanding trends like these presented in this study are essential to determining efficient and consistent neuroimaging strategies."


'/>"/>

Contact: Mary F. Masson
mfmasson@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. American College of Physicians, CECity launch new quality improvement technology platform
2. Emergency medicine physicians develop device to stop lethal bleeding in soldiers
3. ACR in Choosing Wisely campaign to promote wise use of resources among physicians and patients
4. Independence Blue Cross teams with American College of Physicians to improve primary care
5. Paying physicians more to get more -- or to get less
6. Diagnostic physicians at increased risk for medical malpractice claims due to communication failures
7. Physicians who play Mozart while performing colonoscopy may improve adenoma detection rate
8. Mayo Clinic study guides physicians using therapeutic cooling to treat cardiac arrest patients
9. Physicians treating Latinos have high hurdles to jump, study shows
10. Most cancer physicians reach out to bereaved family, caregivers
11. Cedars-Sinai scientists, physicians to be key presenters at World Stem Cell Summit
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/28/2017)... ... ... Quorum Health announced that Robert A. Vento has been appointed as president ... promoted to COO of QHR. , A national search was launched for ... in December 2016. , “I’m pleased to announce these leadership promotions ...
(Date:6/28/2017)... ... 2017 , ... Continually at the forefront of sweetener innovation, ... received the Non-GMO Project Verified seal. All five flavors of the plant-based, sugar-free ... verification for non-GMO foods and products in North America. , Available in Caramel, ...
(Date:6/28/2017)... , ... June 28, 2017 , ... Guide to FDA ... , No matter on which side of the Atlantic devicemakers do business, this ... they have to follow. , In addition to the full text of the FDA’s ...
(Date:6/28/2017)... ... June 28, 2017 , ... Anyone with a remote control has seen the never-ending twists on ... the flipper will get rich in no time. But what about the buyers of ... for the buyer of a flipped house. An email recently sent to Gary Case ...
(Date:6/28/2017)... ... June 28, 2017 , ... David B. Sosin, a founding partner at the ... the post of 2nd Vice President for the Illinois State Bar Association , in ... ISBA’s 3rd Vice President in 2016 following a state-wide election and served in that capacity ...
Breaking Medicine News(10 mins):
(Date:6/8/2017)... LOS ANGELES , June 8, 2017   Responding ... prescription drug oversight and the death of singer Chris ... Commission on Human Rights International offers a free online ...  to better educate consumers and families about psychotropic drug risks. ... Heath Ledger , who died from an accidental overdose, has ...
(Date:6/7/2017)... Endo International plc (NASDAQ: ENDP ) today ... R. Goodwin , U.S. District Court Judge for the ... entered a case management order in MDL 2325, American ... (the "MDL") that includes a provision requiring plaintiffs in ... specific causation within one hundred twenty (120) days of ...
(Date:6/7/2017)... -- Diplomat Specialty Infusion Group, a brand of Diplomat Pharmacy, Inc. (NYSE: ... Iowa location. The Iowa ... ISO 7 cleanroom—the standard needed to compound intravenous (IV) nutrition formulations. ... pollutants. "Our new cleanroom will ... our Iowa patients," said Phil Rielly ...
Breaking Medicine Technology: