Navigation Links
Physicians Order Costly, Redundant Neuroimaging for Stroke Patients, Study Says
Date:3/5/2012

ANN ARBOR, Mich., March 5, 2012 /PRNewswire-USNewswire/ -- 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."

Journal reference: Annals of Neurology, February 2012, Volume 71, No. 2

Funding: Robert Wood Johnson foundation Clinical Scholars Foundation, Veterans Affairs Advanced Fellowship, National Institutes of Health.

Additional authors: All of the University of Michigan: Kevin Kerber, M.D., Theodore J. Iwashyna, M.D., Ph.D., Lewis Morgenstern, M.D.

About the University of Michigan's Department of Neurology: The department is an academic medical department with a full range of activities in patient care, education and research. The Neurology inpatient service provides care for acutely ill patients with neurologic disease and includes a dedicated intensive care unit, a separate stroke unit, and inpatient epilepsy monitoring beds. Our faculty also investigate the causes, treatments, natural history and phenotypic spectrum of inherited neurologic disorders, such as Alzheimer's disease. Our studies range from describing novel inherited neurologic syndromes; to family studies including genetic mapping ; discovering genes for neurologic diseases; and the creation and analysis of laboratory animals of neurologic disease.


'/>"/>
SOURCE University of Michigan Health System
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. How Much is Your Signature Worth? Physicians Command $21,000 on Average To Sign for Employment
2. Dayton Physicians Network and Zangmeister Center Join RainTree Oncology Services Network
3. Leesburg Regional Medical Center Physicians Perform Regions First Aortic Valve Replacement via Catheter
4. Medicalbillersandcoders.com Puts its Service Offers to Physicians Who Strive to Streamline Their Practice This Holiday Season!
5. American Society of Bariatric Physicians Supports FDA Warning Letters for Misleading Advertising of Lap-Band
6. Denver Spine Physicians Begin Enrollment in United States Stem Cell Therapy Study
7. Physicians Capital Investments Announces Relocation of its Corporate Headquarters to Dallas, TX
8. e-MDs Physicians are Among Nebraskas First to Attest for Meaningful Use
9. Physicians Capital Investments Announces Pedro Vergne-Marini, MD Named to Beckers ASC Review "350 People in the ASC Industry to Know"
10. Managed Care Pull-Through Programs Target Physicians, Boost Market Share
11. Physicians Who Treat Obesity Respond to the News of Bubba Smiths Overdose
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/23/2016)... , June 23, 2016  MedSource announced ... as its e-clinical software solution of choice.  This ... best possible value to their clients by offering ... The preferred relationship establishes nowEDC as the EDC ... for MedSource,s full-service clients.  "nowEDC has long been ...
(Date:6/23/2016)... a startling report released today, National Safety Council research ... proven plan to eliminate prescription opioid overdoses. Prescription Nation ... tackling the worst drug crisis in recorded U.S. history, assigned a ... , New Mexico , Tennessee ... failing states, three – Michigan , ...
Breaking Medicine Technology:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating ... many ways they remain in the eye of the beholder, according to experts who ... of The American Journal of Managed Care. For the full issue, click here ...
(Date:6/26/2016)... Orion, Clarkston, Michigan (PRWEB) , ... June 26, ... ... with respect to fertility once they have been diagnosed with endometriosis. These women ... intercourse but they also require a comprehensive approach that can help for preservation ...
(Date:6/25/2016)... ... ... First Choice Emergency Room , the largest network of independent freestanding emergency ... its new Mesquite-Samuell Farm facility. , “We are pleased to announce Dr. Ogunleye ... M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , Dr. Ogunleye ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... are unfamiliar with. The article goes on to state that individuals are now more ... these less common operations such as calf and cheek reduction. The Los Angeles area ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced ... attorneys chosen by their peers for this recognition are considered among the top 2 ... received special honors as members of this year’s Legal Elite Hall of Fame: ...
Breaking Medicine News(10 mins):