No Apparent Workup for most new Indeterminate Pulmonary Nodules in US Commercially-Insured Patients

Journal of Health Economics and Outcomes Research
Bruce S PyensonJavier J Zulueta

Abstract

A recent study estimated that more than 1.5 million Americans have an indeterminate pulmonary nodule (IPN) identified on a chest computed tomography (CT) scan each year outside of lung cancer screening programs. However, the cost and pattern of subsequent IPN workup have not been described for real-world settings. To examine the pattern and cost of IPN workup in real-world practice using insurer administrative claims data for commercially-insured individuals. The primary source for this retrospective observational study was the MarketScan® 2013-2016 databases, which include information on 28 to 47 million insured lives. The newly diagnosed IPN study population consisted of members with an IPN diagnosis code on a claim in 2014 who did not have prior diagnosis of an IPN or lung cancer in 2013 and who had coverage from 2014 to 2016. Subsequent claims were examined for workups included in the American College of Chest Physicians (ACCP) guideline recommendations and the costs of workup were tabulated. Of the 15 064 patients in the study population, only 5471 (36%) received any subsequent workup. The average and median costs of workup for these patients were $3270 and $2068, respectively. Spread across the commercially-insured popula...Continue Reading

References

Feb 14, 2007·Chest·Michael K GouldUNKNOWN Veterans Affairs SNAP Cooperative Study Group
Jul 1, 2011·The New England Journal of Medicine·UNKNOWN National Lung Screening Trial Research TeamJoRean D Sicks
Jul 29, 2011·Journal of Public Health·E M BurnsO D Faiz
Jul 4, 2012·Journal of the American College of Radiology : JACR·Ronilda LacsonUNKNOWN Fleischner Society
Jul 28, 2015·American Journal of Respiratory and Critical Care Medicine·Michael K GouldDavid E Suh
Sep 9, 2016·Journal of Thoracic Disease·Sonali Sethi, Scott Parrish

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Citations

Apr 16, 2021·BMC Cancer·Yichen ZhangLizheng Shi

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Methods Mentioned

BETA
biopsy
surgical resection
biopsies

Software Mentioned

MarketScan

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