The economic implications of unsuspected findings from CT urography performed for haematuria.

The British Journal of Radiology
S J BromageD C Shackley

Abstract

We set out to determine the prevalence of unsuspected findings from CT urography (CTU) performed for haematuria and to evaluate the economic implications associated with the subsequent management of these findings. We analysed the results of 778 consecutive CTU scans performed in a haematuria clinic between 2008 and 2010. We excluded cases where diagnosis of an abnormality had been made prior to CTU. Costs incurred during the follow-up of unsuspected findings were calculated following guidance set out in the NHS Costing Manual 2009/10. 778 CTU scans were performed for patients attending a haematuria clinic from 2008 to 2010. 455 men and 323 women underwent CTU scan; they had a median age of 62 years. 56% of scans were found to have unexpected extra-urinary findings (587 abnormalities in 439 scans). Common findings included diverticular disease (138, 17.7%), adrenal masses [85, 10.9%; 40 (5.1%) of which were indeterminate], lung abnormalities (67, 8.6%), gall bladders containing calculi (44, 5.7%), adnexal cysts (25, 7.7% of women) and aortic aneurysms (18, 2.3%). These findings led to a total of 136 outpatient appointments, 88 radiological investigations and 11 procedures (4 of which were major). The overall cost incurred was £...Continue Reading

References

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Citations

Dec 10, 2015·The British Journal of Radiology·Dominik SchrammAlexey Surov
Jun 24, 2015·Academic Radiology·Justin ZiembaParvati Ramchandani
Jan 24, 2015·AJR. American Journal of Roentgenology·Katherine M MullenStuart G Silverman
Feb 25, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Andrew K C FenwickDonaldo D Canales

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