PMID- 27307026
OWN - NLM
STAT- MEDLINE
DCOM- 20170331
LR  - 20170331
IS  - 1600-0455 (Electronic)
IS  - 0284-1851 (Linking)
VI  - 58
IP  - 4
DP  - 2017 Apr
TI  - Health economic aspects of evaluation with diffusion weighted MR and MR 
      colonography compared to standard evaluation with colonoscopy and CT before 
      rectal cancer surgery.
PG  - 435-441
LID - 10.1177/0284185116653281 [doi]
AB  - Background Colorectal cancer is a frequent type of cancer, and with the risk of 
      synchronous disease, the need for a complete staging leads to an extensive and 
      costly preoperative diagnostic evaluation. Previously we described a total 
      preoperative evaluation using magnetic resonance (MR) colonography and 
      diffusion-weighted MR of the liver. Purpose To compare the economic aspects of 
      this modality with the standard evaluation in an analysis of the different cost 
      drivers. Material and Methods Based on the results from previous studies, two 
      calculations were performed, a theoretical cost calculation and a practical cost 
      calculation. The cost drivers utilized are an average cost based on the cost of 
      all procedures and diagnostic modalities performed in hospitalized patients (DRG) 
      and outpatients (DAGS [Danish outpatient grouping system]) in Denmark. Results 
      The total cost for a full colorectal evaluation and computed tomography (CT) scan 
      of the thorax/abdomen was less for the new modality group in all theoretical 
      models proposed; euro225 using model A, euro322 using model B, and euro383 using model C. 
      Using results from previous studies, the actual difference and the potential 
      difference in cost between the two preoperative diagnostic modalities per patient 
      were euro312 and euro712, respectively. Conclusion This cost analysis shows the cost 
      effectiveness of the new modality as the future standard preoperative diagnostic 
      work-up by reducing total cost and by having a higher sensitivity and completion 
      rate.
FAU - Achiam, Michael P
AU  - Achiam MP
AD  - 1 Department of Surgical Gastroenterology, Abdominalcenteret, Copenhagen 
      University Hospital, Rigshospitalet, Denmark.
FAU - Kjellberg, Jakob
AU  - Kjellberg J
AD  - 2 KORA, the Danish Institute for Local and Regional Government Research, Denmark.
FAU - Rosenberg, Jacob
AU  - Rosenberg J
AD  - 3 Department of Surgical Gastroenterology, Copenhagen University Hospital, Herlev 
      Hospital, Denmark.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20160720
PL  - England
TA  - Acta Radiol
JT  - Acta radiologica (Stockholm, Sweden : 1987)
JID - 8706123
SB  - IM
MH  - Colon/diagnostic imaging
MH  - Colonoscopy/*economics
MH  - Cost-Benefit Analysis/*economics
MH  - Denmark
MH  - Diffusion Magnetic Resonance Imaging/economics
MH  - Humans
MH  - Magnetic Resonance Imaging/*economics
MH  - Rectal Neoplasms/*diagnostic imaging/*economics/surgery
MH  - Sensitivity and Specificity
MH  - Tomography, X-Ray Computed/*economics
OTO - NOTNLM
OT  - Health economic
OT  - colonography
OT  - computed tomography (CT)
OT  - cost
OT  - magnetic resonance imaging (MR)
OT  - rectal cancer
EDAT- 2016/06/17 06:00
MHDA- 2017/04/01 06:00
CRDT- 2016/06/17 06:00
PHST- 2016/06/17 06:00 [pubmed]
PHST- 2017/04/01 06:00 [medline]
PHST- 2016/06/17 06:00 [entrez]
AID - 0284185116653281 [pii]
AID - 10.1177/0284185116653281 [doi]
PST - ppublish
SO  - Acta Radiol. 2017 Apr;58(4):435-441. doi: 10.1177/0284185116653281. Epub 2016 Jul 
      20.