Cost-effectiveness of CT thorax and bronchoscopy in haemoptysis with normal CXR for exclusion of lung cancer
| Autor: | P. S. Lok, K. Y. Wong, T. T. Shum, Y. C. Chan, G. T. S. Law, C. Y. Wong |
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| Rok vydání: | 2002 |
| Předmět: |
Thorax
medicine.medical_specialty Hemoptysis Lung Neoplasms medicine.diagnostic_test Cost effectiveness business.industry Cost-Benefit Analysis Cancer medicine.disease Bronchoscopy medicine Sputum Bronchitis Humans Radiology Nuclear Medicine and imaging Radiography Thoracic Radiology Medical diagnosis medicine.symptom Lung cancer business Tomography X-Ray Computed Retrospective Studies |
| Zdroj: | Australasian radiology. 46(4) |
| ISSN: | 0004-8461 |
| Popis: | Summary As fibre-optic bronchoscopy and CT thorax become more widely used, patients with haemoptysis who had normal CXR and sputum results are more commonly offered both CT and bronchoscopy to exclude lung cancer. Doctors who are under possible litigation pressure arising from missed diagnoses of lung cancer are often exhaustive in their investigations, even when the haemoptysis has been transient. The present study aims to investigate the number of cancer patients who can be detected with the two investigations, and compare recent similar study results with archive results. We found that despite the use of more efficient investigation tools, the yield is paradoxically much lower and, hence, less cost-effective than that of previous studies. The likely reason is that doctors tend to over-investigate, even for short-term, minimal blood-streaked sputum, which is common among simple bronchitis. In order to be more cost-effective, these investigations should be used more selectively and for high risk patients such as those with prolonged haemoptysis and those who are heavy smokers. |
| Databáze: | OpenAIRE |
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