Journal article
CT scans for pulmonary surveillance may be overused in lower-grade sarcoma
The Iowa orthopaedic journal, Vol.32, pp.28-34
2012
PMCID: PMC3565411
PMID: 23576918
Appears in Diamond Open Access
Abstract
Chest CT scans are often used to monitor patients after excision of a sarcoma. Although sensitive, CT scans are more expensive than chest radiographs and are associated with possible health risks from a higher radiation dose. We hypothesized that a program based upon limited CT scans in lower-grade sarcoma could be efficacious and less expensive. We retrospectively assigned patients to a high-risk or low-risk hypothetical protocol. Eighty-three low- or intermediate-grade soft tissue sarcomas met our inclusion criteria. Eight patients had pulmonary metastasis. A protocol based on selective CT scans for high-risk patients would have identified seven out of eight lesions. The incremental cost-effectiveness ratio for routine CT scans was $731,400. A program based upon selective CT scans for higher-risk patients is accurate, spares unnecessary radiation to many patients, and is less expensive.
Details
- Title: Subtitle
- CT scans for pulmonary surveillance may be overused in lower-grade sarcoma
- Creators
- Benjamin J Miller - Department of Orthopaedics and Rehabilitation, University of Iowa, 200 Hawkins Drive, 01025 JPP Iowa City, IA 52242, USA. benjamin-j-miller@uiowa.eduEmily E Carmody SoniJohn D ReithC Parker GibbsMark T Scarborough
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.32, pp.28-34
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 23576918
- PMCID
- PMC3565411
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 2012
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040327902771
Metrics
15 Record Views