PMID- 9280236
OWN - NLM
STAT- MEDLINE
DCOM- 19970916
LR  - 20051117
IS  - 0033-8419 (Print)
IS  - 0033-8419 (Linking)
VI  - 204
IP  - 3
DP  - 1997 Sep
TI  - Wilms tumor imaging: patient costs and protocol compliance.
PG  - 627-33
AB  - PURPOSE: To evaluate the patient costs for imaging and compliance with imaging 
      protocols in pediatric patients in the National Wilms Tumor Study (NWTS) IV. 
      MATERIALS AND METHODS: The medical and imaging records of 60 patients (28 male, 
      32 female; aged 3 days to 12.6 years) in NWTS IV were reviewed. Initial imaging 
      and follow-up imaging were evaluated separately. Three levels of follow-up 
      compliance were evaluated. RESULTS: The total patient cost for imaging was 
      $442,180: $94,212 for initial and $347,968 for follow-up studies. Many areas of 
      potential cost savings were identified. Protocol compliance was variable. 
      Seventy-five percent of patients underwent studies in full compliance with the 
      initial protocol requirements. For follow-up, compliance was 0%-80% for different 
      studies at different compliance levels. For no study was compliance 100%. 
      CONCLUSION: Imaging costs in pediatric patients with Wilms tumor are substantial. 
      Protocol compliance was not optimal.
FAU - Carrico, C W
AU  - Carrico CW
AD  - Department of Radiology, James Whitcomb Riley Hospital for Children, Indiana 
      University Medical Center, Indianapolis 46202-5200, USA.
FAU - Cohen, M D
AU  - Cohen MD
FAU - Zerin, J M
AU  - Zerin JM
FAU - Weetman, R
AU  - Weetman R
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Radiology
JT  - Radiology
JID - 0401260
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Continuity of Patient Care
MH  - Costs and Cost Analysis
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Kidney Neoplasms/diagnosis/*economics/pathology
MH  - Male
MH  - Radiography/economics
MH  - Sarcoma, Clear Cell/diagnosis/economics
MH  - Ultrasonography/economics
MH  - Wilms Tumor/diagnosis/*economics/secondary
EDAT- 1997/09/01 00:00
MHDA- 1997/09/01 00:01
CRDT- 1997/09/01 00:00
PHST- 1997/09/01 00:00 [pubmed]
PHST- 1997/09/01 00:01 [medline]
PHST- 1997/09/01 00:00 [entrez]
AID - 10.1148/radiology.204.3.9280236 [doi]
PST - ppublish
SO  - Radiology. 1997 Sep;204(3):627-33. doi: 10.1148/radiology.204.3.9280236.