Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer

David C. Mauchley; Dana C. Lynge; Lorrie A. Langdale; Matthias G. Stelzner; Charles N. Mock; Kevin G. Billingsley; Gordon Houston

doi:10.1016/j.amjsurg.2005.01.027

Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer

David C. Mauchley, Dana C. Lynge, Lorrie A. Langdale, Matthias G. Stelzner, Charles N. Mock, Kevin G. Billingsley, Gordon Houston

Surgical Oncology

Research output: Contribution to journal › Article › peer-review

42 Scopus citations

Abstract

Background: The aims of this study were to assess the clinical utility of the practice of routine preoperative CT scanning and to determine its cost-effectiveness in colon cancer patients. Methods: A 6-year database of colon cancer patients treated at a veterans affairs medical was reviewed to determine the influence of preoperative CT scanning on clinical management. Cost analysis involved comparison of the institutional cost of CT scanning with the cost savings provided by avoiding nontherapeutic operations. Results: CT scans were obtained in 130 consecutive patients. CT scans provided information that was used in treatment planning in 43 (33%) patients and definitively altered the mode of treatment in 21 (16%) patients. The practice saved the institution $24,018 over 6 years. Conclusion: Routine preoperative CT scanning definitively alters treatment in a small number of cases and is cost-effective.

Original language	English (US)
Pages (from-to)	512-517
Number of pages	6
Journal	American journal of surgery
Volume	189
Issue number	5 SPEC. ISS.
DOIs	https://doi.org/10.1016/j.amjsurg.2005.01.027
State	Published - May 2005

Keywords

Colon neoplasm
Computed
Surgery
Tomography scanners
X-ray

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2005.01.027

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title = "Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer",

abstract = "Background: The aims of this study were to assess the clinical utility of the practice of routine preoperative CT scanning and to determine its cost-effectiveness in colon cancer patients. Methods: A 6-year database of colon cancer patients treated at a veterans affairs medical was reviewed to determine the influence of preoperative CT scanning on clinical management. Cost analysis involved comparison of the institutional cost of CT scanning with the cost savings provided by avoiding nontherapeutic operations. Results: CT scans were obtained in 130 consecutive patients. CT scans provided information that was used in treatment planning in 43 (33%) patients and definitively altered the mode of treatment in 21 (16%) patients. The practice saved the institution $24,018 over 6 years. Conclusion: Routine preoperative CT scanning definitively alters treatment in a small number of cases and is cost-effective.",

keywords = "Colon neoplasm, Computed, Surgery, Tomography scanners, X-ray",

author = "Mauchley, {David C.} and Lynge, {Dana C.} and Langdale, {Lorrie A.} and Stelzner, {Matthias G.} and Mock, {Charles N.} and Billingsley, {Kevin G.} and Gordon Houston",

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T1 - Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer

AU - Mauchley, David C.

AU - Lynge, Dana C.

AU - Langdale, Lorrie A.

AU - Stelzner, Matthias G.

AU - Mock, Charles N.

AU - Billingsley, Kevin G.

AU - Houston, Gordon

PY - 2005/5

Y1 - 2005/5

N2 - Background: The aims of this study were to assess the clinical utility of the practice of routine preoperative CT scanning and to determine its cost-effectiveness in colon cancer patients. Methods: A 6-year database of colon cancer patients treated at a veterans affairs medical was reviewed to determine the influence of preoperative CT scanning on clinical management. Cost analysis involved comparison of the institutional cost of CT scanning with the cost savings provided by avoiding nontherapeutic operations. Results: CT scans were obtained in 130 consecutive patients. CT scans provided information that was used in treatment planning in 43 (33%) patients and definitively altered the mode of treatment in 21 (16%) patients. The practice saved the institution $24,018 over 6 years. Conclusion: Routine preoperative CT scanning definitively alters treatment in a small number of cases and is cost-effective.

AB - Background: The aims of this study were to assess the clinical utility of the practice of routine preoperative CT scanning and to determine its cost-effectiveness in colon cancer patients. Methods: A 6-year database of colon cancer patients treated at a veterans affairs medical was reviewed to determine the influence of preoperative CT scanning on clinical management. Cost analysis involved comparison of the institutional cost of CT scanning with the cost savings provided by avoiding nontherapeutic operations. Results: CT scans were obtained in 130 consecutive patients. CT scans provided information that was used in treatment planning in 43 (33%) patients and definitively altered the mode of treatment in 21 (16%) patients. The practice saved the institution $24,018 over 6 years. Conclusion: Routine preoperative CT scanning definitively alters treatment in a small number of cases and is cost-effective.

KW - Colon neoplasm

KW - Computed

KW - Surgery

KW - Tomography scanners

KW - X-ray

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ER -

Clinical utility and cost-effectiveness of routine preoperative computed tomography scanning in patients with colon cancer

Abstract

Keywords

ASJC Scopus subject areas

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