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:2/22/2017)... Colorado (PRWEB) , ... February ... ... the availability of their newest advanced absorption cannabidiol (CBD) serum, “NANOCALM 300” ... delivery system®, which provides instant absorption from the mouth into the bloodstream. ...
(Date:2/22/2017)... ... February 22, 2017 , ... ... to spine practices, is featuring Michigan neurosurgeon Jay Jagannathan, M.D., as a “Spine ... a small number of neurosurgeons in Michigan performing minimally invasive back surgery that ...
(Date:2/22/2017)... ... ... The SeniorCare Investor will host an important webinar— Seniors Housing M&A: The ... PM ET. A recording of the webinar will also be made available following its ... want to find out what really happened in the seniors housing and care merger ...
(Date:2/22/2017)... ... ... BrightStar Care Charleston , a home care and medical staffing agency, will ... on Aging’s Senior Expo on Thursday, March 23, 2017, at the Omar Convention ... our community. We are thrilled to participate in this event because we believe it ...
(Date:2/22/2017)... OAKLAND/SAN FRANCISCO BAY AREA - NORTHERN CALIFORNIA (PRWEB) , ... ... ... Forum (PMF) aims to expand the pipeline and the number of African ... support that encourages medical students and residents to pursue their careers as physicians ...
Breaking Medicine News(10 mins):
(Date:2/22/2017)... TAMPA, Fla. , Feb. 22, 2017  Corin ... Shoulder System, a device used to treat patients with ... form of shoulder arthritis. The condition, known as cuff ... arm and shoulder. The Humelock Reversed ... privately-held upper extremities technology company based near ...
(Date:2/22/2017)... 22, 2017 Research and Markets has ... Pipeline Review, 2016" report to their offering. ... Dermatological conditions ... and approximately one-third of the US population suffers from at ... majority of the dermatology market has remained saturated with established ...
(Date:2/22/2017)... , Feb 22, 2017 Research and ... Drugs Market by Drug Molecule (Biologic, Small Molecule Drugs), By ... Inhibitors, Interleukin Blockers) Outlook 2022" report to their offering. ... The ... growth during 2016-2022 This report provides a detailed ...
Breaking Medicine Technology: