A randomised clinical trial of routine versus selective CT imaging in acute abdomen: Impact of patient age on treatment costs and hospital resource use 

Slides:



Advertisements
Similar presentations
Auditory nerve disease and auditory neuropathy spectrum disorders Kimitaka Kaga Auris Nasus Larynx Volume 43, Issue 1, Pages (February 2016) DOI:
Advertisements

Comparison of topical glyceryl trinitrate with lignocaine ointment for treatment of anal fissure: A randomised controlled trial J. Ahmad, S.I.H. Andrabi,
EASL Clinical Practice Guidelines: Vascular diseases of the liver Journal of Hepatology Volume 64, Issue 1, Pages (January 2016) DOI: /j.jhep
Perimenopausal migraine in women with vasomotor symptoms E. Anne MacGregor Maturitas Volume 71, Issue 1, Pages (January 2012) DOI: /j.maturitas
Mobile health IT: The effect of user interface and form factor on doctor–patient communication Ole Andreas Alsos, Anita Das, Dag Svanæs International Journal.
Invisible touch—Control of a DICOM viewer with finger gestures using the Kinect depth camera L.C. Ebert, G. Hatch, M.J. Thali, S. Ross Journal of Forensic.
Enhanced temporal resolution at cardiac CT with a novel CT image reconstruction algorithm: Initial patient experience Paul Apfaltrer, Harald Schoendube,
Metastatic melanoma treatment: Combining old and new therapies Ryan J. Davey, Andre van der Westhuizen, Nikola A. Bowden Critical Reviews in Oncology /
Prevalence and characteristics of intravertebral enhancement on contrast-enhanced CT scans in cancer patients  Benjamin Rasselet, Ahmed Larbi, Pierre.
Radiological and clinical course of pneumonia in patients with avian influenza H5N1  Ali Bay, Ömer Etlik, A. Faik Öner, Özkan Ünal, Halil Arslan, Aydın.
Assessment of radiation exposure on a dual-source computed tomography-scanner performing coronary computed tomography-angiography  S. Kirchhoff, P. Herzog,
18F-FDG PET, combined FDG-PET/CT and MRI for evaluation of bone marrow infiltration in staging of lymphoma: A systematic review and meta-analysis  Lian-Ming.
Meta-analysis study of lymph node staging by 18 F-FDG PET/CT scan in non-small cell lung cancer: Comparison of TB and non-TB endemic regions  Chih-Ying.
The diagnostic efficiency of ultrasound guided imaging algorithm in evaluation of patients with hematuria  Alparslan Ünsal, Eda Kazak Çalişkan, Haluk.
Percutaneous transluminal angioplasty for Brescia-Cimino hemodialysis fistula dysfunction: technical success rate, patency rate and factors that influence.
Volume 44, Issue 12, Pages (December 2013)
Volume 48, Issue 10, Pages (October 2017)
Comparison of findings of spontaneous splenorenal shunt in color Doppler sonography with multislice CT scan (64 slices) in liver transplant candidates 
Association between magnetic resonance imaging findings of uterine leiomyomas and symptoms demanding treatment  Anu J. Ruuskanen, Maritta I. Hippeläinen,
Bo Karlsson, Gunilla Burell, Ulla-Maria Anderberg, Kurt Svärdsudd 
Whole brain white matter changes revealed by multiple diffusion metrics in multiple sclerosis: A TBSS study  Yaou Liu, Yunyun Duan, Yong He, Chunshui.
Pulsed radiofrequency in peripheral posttraumatic neuropathic pain: A double blind sham controlled randomized clinical trial  Ethem Akural, Voitto Järvimäki,
Volume 46, Issue 3, Pages (March 2007)
Cooled microwave ablation of thyroid nodules: Initial experience
CT-guided 125I brachytherapy for mediastinal metastatic lymph nodes recurrence from esophageal carcinoma: Effectiveness and safety in 16 patients  Fei.
Double reading of current chest CT examinations: Clinical importance of changes to radiology reports  Peter M. Lauritzen, Knut Stavem, Jack Gunnar Andersen,
A New Model for Imaging and Radiation Therapy Quality Assurance in the National Clinical Trials Network of the National Cancer Institute  Thomas J. FitzGerald,
Validation of a Finnish version of the Fibromyalgia Impact Questionnaire (Finn-FIQ)  Jarno Gauffin, Tiina Hankama, Hannu Kautiainen, Marja Arkela-Kautiainen,
Sorafenib-based combination as a first line treatment for advanced hepatocellular carcinoma: A systematic review of the literature  Omar Abdel-Rahman,
The Superficial Cervical Plexus Block for Postoperative Pain Therapy in Carotid Artery Surgery. A Prospective Randomised Controlled Trial  M. Messner,
Steroid-related emphysematous cystitis in an EGFR-mutant patient with lung adenocarcinoma while on gefitinib treatment  Diego Marquez-Medina, Sanjay Popat 
The role of hyperbaric oxygen therapy in ischaemic diabetic lower extremity ulcers: A double-blind randomised-controlled trial  A. Abidia, G. Laden, G.
Definition, structure, content, use and impacts of electronic health records: A review of the research literature  Kristiina Häyrinen, Kaija Saranto,
Role of computed tomography on large B-cell non-Hodgkin’s lymphoma follow-up and the risk of radiation-induced neoplasm: A retrospective cohort study 
Treatment of Primary Varicose Veins by Endovenous Obliteration with the VNUS Closure System: Results of a Prospective Multicentre Study  Ph. Nicolini,
Whole-body MRI vs. CT for staging lymphoma: Patient experience
The impacts of smart cards on hospital information systems—An investigation of the first phase of the national health insurance smart card project in.
Remko Kockelkoren, Pushpa M Jairam, John T. Murchison, Thomas P. A
Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic.
Critical Reviews in Oncology / Hematology
Age, period and cohort trends in drug abuse hospitalizations within the total Swedish population (1975–2010)  Giuseppe N. Giordano, Henrik Ohlsson, Kenneth.
The effectiveness of a Chinese midwives’ antenatal clinic service on childbirth outcomes for primipare: A randomised controlled trial  Chunyi Gu, Xiaodan.
Incidence of right-sided colonic tumors (non-appendiceal) in patient's ≥40 years of age presenting with features of acute appendicitis  Suhail Aslam Khan,
Intravenous or nebulised magnesium sulphate versus standard therapy for severe acute asthma (3Mg trial): a double-blind, randomised controlled trial 
Radiological incidence of parastomal herniation in cancer patients with permanent colostomy: What is the ideal size of the surgical aperture?  Alexander.
Preoperative position splint versus skin traction in patients with hip fracture: An experimental study  Betul Tosun, Ozlem Aslan, Servet Tunay  International.
Virological tools to diagnose and monitor hepatitis C virus infection
Aspirin in the prevention of cancer – Author's reply
Sofie Arens, Jan Verhaegen, Ludo Verbist 
Controlled clinical trials in cystic fibrosis — are we doing better?
J. Bodilsen, C. T. Brandt, A. Sharew, M. Dalager-Pedersen, T
Confessions of a journal junkie
European Urology is “Your” Journal
A.H. Gifford  Journal of Cystic Fibrosis 
Intravenous or nebulised magnesium sulphate versus standard therapy for severe acute asthma (3Mg trial): a double-blind, randomised controlled trial 
Recommendations for the management of patients with homozygous familial hypercholesterolaemia: Overview of a new European Atherosclerosis Society consensus.
Atrial fibrillation: Improvement in identification and stroke preventive therapy —Data from the UK Clinical Practice Research Datalink, 2000–2012  A.C.E.
Support Your Specialty
Effect of metronidazole versus standard care on length of stay of patients admitted with severe infectious mononucleosis: a randomized controlled trial 
Internal Jugular Vein Aneurysm: A Case Report
David A. Clark, Upender K. Munshi  Pathophysiology 
Skin cancer epidemic in a wireless world
K. Kaier, N.T. Mutters, U. Frank  Clinical Microbiology and Infection 
Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical.
Routine screening for pain combined with a pain treatment protocol in head and neck cancer: a randomised controlled trial  J.E. Williams, J. Peacock,
New trials and results in systemic treatment of HCC
Liver transplantation in children
Ruptured Infected Aneurysm of the Aorta Secondary to Appendicitis
Effect of preoxygenation using non-invasive ventilation before intubation on subsequent organ failures in hypoxaemic patients: a randomised clinical trial 
Presidential address: The second-generation vascular surgeon
Presentation transcript:

A randomised clinical trial of routine versus selective CT imaging in acute abdomen: Impact of patient age on treatment costs and hospital resource use  Tiina T. Lehtimäki, Hannu Valtonen, Pekka Miettinen, Petri Juvonen, Hannu Paajanen, Ritva Vanninen  European Journal of Radiology  Volume 87, Pages 1-7 (February 2017) DOI: 10.1016/j.ejrad.2016.11.031 Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 Study flow chart. European Journal of Radiology 2017 87, 1-7DOI: (10.1016/j.ejrad.2016.11.031) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 Discharge rate from ED according to age and randomisation group. European Journal of Radiology 2017 87, 1-7DOI: (10.1016/j.ejrad.2016.11.031) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 CT rate in the selective imaging practice (SIP) group according to patient age and sex. European Journal of Radiology 2017 87, 1-7DOI: (10.1016/j.ejrad.2016.11.031) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 4 The predicted total costs of treatment (A), predicted imaging costs (B), predicted length of hospital stay (C), and the probability of obtaining a specific diagnosis of acute abdomen (D) according to patient age, sex, and randomisation group. European Journal of Radiology 2017 87, 1-7DOI: (10.1016/j.ejrad.2016.11.031) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions