Navigation Links
Use of costly breast cancer therapy strongly influenced by reimbursement policy
Date:4/28/2011

What Medicare would pay for and where a radiation oncologist practiced were two factors that strongly influenced the choice of intensity-modulated radiation therapy (IMRT) for treating breast cancer, according to an article published April 29 online in the Journal of the National Cancer Institute. The use of IMRT and the cost of radiation therapy increased sharply over the period of the study.

IMRT is a radiation delivery technique that modulates the radiation beams to conform to the shape of the tumor or tumor bed in an attempt to maximize the dose of radiation to the tumor while minimizing the dose to adjacent normal tissues. Compared to conventional, two- or three-dimensional radiation therapy, IMRT may reduce acute skin toxicity and improve cosmetic outcomes for women undergoing breast conservation therapy.

But there are simpler approaches to three-dimensional treatment that may provide the same benefits at lower cost. It is thus controversial whether such treatments justify billing Medicare for IMRT.

To look at clinical, demographic, and other factors associated with billing for IMRT in Medicare beneficiaries with breast cancer, Benjamin D. Smith, M.D., of the M. D. Anderson Cancer Center in Houston, Texas, and colleagues used Medicare data for 26,163 women with localized breast cancer who had undergone surgery and radiation therapy from 2001 through 2005.

They found that Medicare billing for IMRT increased more than 10-fold (increasing from 0.9% to 11.2% of the diagnosed patients) in that period. The average cost of radiation within the first year of diagnosis was $7,179 without IMRT and $15,230 with IMRT.

In regions of the country where local Medicare carriers covered IMRT, billing for this treatment was more than five times higher than in regions where it was not covered. Furthermore, IMRT billing was more frequent for patients treated by radiation oncologists in freestanding radiation centers (7.6%
'/>"/>

Contact: Kristine Crane
jncimedia@oxfordjournals.org
301-841-1287
Journal of the National Cancer Institute
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Portable, less costly peritoneal dialysis shows no additional catheter risk factors
2. Adverse drug events costly to health care system: Vancouver Coastal Health-UBC research
3. Knee replacement surgeries take more time, are more costly in overweight individuals
4. Evidence lacking for widespread use of costly antipsychotic drugs, says Stanford researcher
5. For HIV-positive patients, delayed treatment a costly decision
6. Patients Who Swallow Foreign Objects a Costly Burden to Health Care
7. Mental health leaves most costly disability to Canadian employers
8. Does the U.S. Need to Ration Costly End-of-Life Care?
9. Costly tests may not help detect bladder cancer recurrence, M. D. Anderson study finds
10. Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly
11. Study Suggests Low-Consuming Medicare Beneficiaries With Chronic Disease Are More Costly to Program
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/23/2014)... Lake Worth, FL (PRWEB) July 23, 2014 ... will take place Aug. 10-16, Millennium Treatment Group is ... Substance abuse has existed in society ever since man ... make wine. Substance abuse treatment has existed since shortly ... of recognizing a problem and then developing a way ...
(Date:7/23/2014)... Steven Reinberg HealthDay Reporter ... Many obese and overweight American children and teens look ... fine, U.S. health officials reported Wednesday. "Being overweight ... as high blood pressure, high cholesterol and diabetes," said ... U.S. Centers for Disease Control and Prevention,s National Center ...
(Date:7/23/2014)... 2014 Inventor and entrepreneur Delegate Joe ... to the gas pump – sharing his passion for ... 30 at Noon. , With 24 patents granted and ... than anyone in the General Assembly since Thomas Jefferson. ... yard marker as seen on television, an instrument for ...
(Date:7/23/2014)... WHAT: The National Institute of Biomedical Imaging and ... Investigator Symposium on July 30, 2014 on the NIH ... new investigators covering a wide breadth of NIBIB-funded research. ... Adam Cohen, Harvard, Engineering Microbial Rhodopsins as Optical Voltage ... Testing Fluorescently Labeled Probes for Nerve ...
(Date:7/23/2014)... (PRWEB) July 23, 2014 Bodybuilding.com, the ... online retailer of nutritional supplements, has officially opened the ... BPI SPORTS , the fastest growing sports nutrition company, ... , Brand of the Year, Best Tasting Protein of ... Protein Powder of the year - Whey-HD™, Pre-workout Supplement ...
Breaking Medicine News(10 mins):Health News:Millennium Treatment Group Offers Tips on Choosing a Reputable Treatment Center 2Health News:Millennium Treatment Group Offers Tips on Choosing a Reputable Treatment Center 3Health News:Many Obese U.S. Kids Think They're Thinner Than They Are 2Health News:Many Obese U.S. Kids Think They're Thinner Than They Are 3Health News:Celebrating Innovation and Invention 2Health News:Vote Now; BPI SPORTS is Nominated for Eight 2014 Bodybuilding.com Supplement Awards 2Health News:Vote Now; BPI SPORTS is Nominated for Eight 2014 Bodybuilding.com Supplement Awards 3
... Infosys Chairman N R Narayana Murthy today slammed as 'absolutely cruel' ... record//. ,'It is cruel. It is absolutely cruel. We are ... Infosys campus as he endorsed the view of former athlete P ... about burning out our children. If Budhia Singh could win the ...
... of the prestigious Jawaharlal Institute of Post-graduate Medical Education ... to protest the move to reserve seats for OBC ... the Central government-administered JIPMER yesterday took out a rally ... ,A spokesperson of the JIPMER Students Association ...
... found migraine medication sumatriptan, known by the brand names ... to trigeminal neuralgia up to eight hours. ... provide relief for people who suffer from, trigeminal neuralgia. ... rapid and significant pain relief without serious adverse reactions. ...
... women with hypertension compared to those with normal blood ... of hypertension appear to be significant predictors of FSD, ... inability to achieve an orgasm, and pain during sexual ... of the American Society of Hypertension said. ...
... Northern Ireland, expressing his apology over the cancer screening scandal ... who had suffered distress and anxiety can claim compensation. ... the cancer diagnosis of six women owing to substandard care ... dying from breast cancer attributable to the delay in diagnosis ...
... medical technology continues to advance fertility procedures such as ... common practice. // But a study published in the ... even after thorough screenings of sperm donors, genetic disorders ... ,Laurence Boxer, MD, and colleagues from the University of ...
Cached Medicine News:Health News:Study Finds That Migraine Drug Can Ease The Severest Of Facial Pain 2Health News:Minster Apologizes To Women Involved In Breast Cancer Screening Scandal 2
(Date:7/23/2014)... , July 23, 2014 Inovio ... successful results from its randomized, double-blind, placebo-controlled ... with biopsy-proven cervical intraepithelial neoplasia 2/3 (CIN2/3) ... or 18. Treatment with VGX-3100, Inovio,s HPV16/18-specific ... to CIN1 or no disease, meeting the ...
(Date:7/23/2014)... 8,000 attendees will converge in Washington D.C. ... (RBC), taking place July 23-26 at the Gaylord National ... to "Lead Change" in the pharmacy profession, in their ... future. "RBC is the perfect opportunity for ... learn new ways they can lead change in healthcare ...
(Date:7/23/2014)... 23, 2014  Mevesi Inc. would like to ... integration provides pharmacies with the ability to send ... patients. Mevesi,s solutions provide an ... to define target marketing campaigns. This coupled with ... within the Digital Marketing, Population Management, and Pharmacy ...
Breaking Medicine Technology:Inovio Pharmaceuticals HPV Immunotherapy Achieves Primary Efficacy Endpoint in Randomized Phase II Cervical Dysplasia Trial 2Inovio Pharmaceuticals HPV Immunotherapy Achieves Primary Efficacy Endpoint in Randomized Phase II Cervical Dysplasia Trial 3Inovio Pharmaceuticals HPV Immunotherapy Achieves Primary Efficacy Endpoint in Randomized Phase II Cervical Dysplasia Trial 4Inovio Pharmaceuticals HPV Immunotherapy Achieves Primary Efficacy Endpoint in Randomized Phase II Cervical Dysplasia Trial 5Cardinal Health Encourages Independent Pharmacists to Lead Change at 24th Annual Retail Business Conference 2Cardinal Health Encourages Independent Pharmacists to Lead Change at 24th Annual Retail Business Conference 3Cardinal Health Encourages Independent Pharmacists to Lead Change at 24th Annual Retail Business Conference 4Cardinal Health Encourages Independent Pharmacists to Lead Change at 24th Annual Retail Business Conference 5Cardinal Health Encourages Independent Pharmacists to Lead Change at 24th Annual Retail Business Conference 6Mevesi Enhances Solutions with Variable Print Media Capabilities! 2
... 9, 2010 Alere Inc. (NYSE: ALR ), ... their health at home through the merger of rapid diagnostics ... Lazard Capital Markets 7th Annual Healthcare Conference being held November ...  Jon Russell, Vice President, Finance, will attend.  Mr. Russell,s presentation ...
... Across the country, thousands of senior citizens and people living ... well enough in their homes to groom themselves, prepare meals ... are often difficult for those in need of mobility assistance, ... For Medicare beneficiaries in need of mobility assistance, the lame-duck ...
Cached Medicine Technology:Congress Urged to Delay New Medicare Wheelchair Rental Policy 2Congress Urged to Delay New Medicare Wheelchair Rental Policy 3Congress Urged to Delay New Medicare Wheelchair Rental Policy 4
Mounted on a sturdy, molded headband,the Classic has a fully adjustable crown,strap and cushioning that adds to,your comfort....
The Convertible lets you attach the,High Lite optic directly to your loupes....
... is a product of AlloSource, one ... human tissue processing, and Interpore Cross, ... InterGro combines AlloGro DBM with ... deliver a unique bone graft that ...
Immunoassay for the detection of Group A streptococcal antigen directly from throat swab specimens. ,Rapid, accurate diagnosis assures prompt treatment....
Medicine Products: