Dr Billingsley and colleagues assessed the clinical utility of the practice of routine preoperative computed tomography scanning and to determine its cost-effectiveness in colon cancer patients.
The research team reviewed a 6 year database of colon cancer patients treated at a veterans affairs medical.
|Use of preoperative computed tomography scans saved the institution $24,018 over 6 years.|
|American Journal of Surgery|
The researchers aimed to determine the influence of preoperative computed tomography scanning on clinical management.
The team described that cost analysis involved comparison of the institutional cost of computed tomography scanning with the cost savings provided by avoiding nontherapeutic operations.
The investigators obtained computed tomography scans in 130 consecutive patients.
The team found that computed tomography scans provided information that was used in treatment planning in 33 % of patients.
In addition, the scans were shown to definitively alter the mode of treatment in 16 % of patients.
The researchers reported that the practice saved the institution $24,018 over 6 years.
Dr Billingsley reported, “Routine preoperative computed tomography scanning definitively alters treatment in a small number of cases and is cost-effective.”