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Title of Journal: Radiol med

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Abbravation: La radiologia medica

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Springer Milan

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DOI

10.1007/s00158-003-0315-6

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ISSN

1826-6983

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64Slice CT coronary angiography versus convention

Authors: F Stacul D Sironi G Grisi M Belgrano A Salvi M Cova
Publish Date: 2009/03/05
Volume: 114, Issue: 2, Pages: 239-252
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Abstract

Detailed activitybased cost analyses of the two modalities were carried out at the departments of radiology and cardiology of a teaching hospital The differential costs equipment variable personnel common costs and external costs were estimated Finally the full costs of the two procedures were obtained the full cost of conventional coronary angiography also considered the cost of 1 day in hospital The costeffectiveness of the two procedures at different levels of pretest likelihood of coronary artery disease CAD was estimatedThe costs of multidetector CT MDCT coronary angiography were as follows differential cost 22223 € common cost 550 € external cost 230 € and full cost 23003 € The costs of conventional coronary angiography were differential cost 36618 € common cost 050 € external cost 920 € hospitalisation cost 1652 € and full cost 202788 € Costeffectiveness analysis showed that the cost per correctly identified CAD patient decreased exponentially with increasing pretest likelihoods of CAD MDCT coronary angiography was more cost effective than conventional coronary angiography up to a pretest likelihood of 86Per ciascuna metodica è stata effettuata una dettagliata analisi dei costi all’interno della UCO di Radiologia e della SC di Cardiologia Sono stati calcolati i costi differenziali costo apparecchiature costi variabili costo del personale medico tecnico e infermieristico i costi comuni e i costi esterni Al costo della coronarografia è stato sommato il costo della giornata di degenza effettuata dopo tale procedura E stato determinato il rapporto costoefficacia delle due metodiche rapportandolo alle diverse categorie di probabilità pretest di malattia coronaricaLa coronaroTC ha fatto registrare costo differenziale € 22223 costo comune € 550 costo esterno € 230 costo totale € 23003 Per la coronarografia si è verificato costo differenziale € 36618 costo comune € 050 costo esterno € 920 costo degenza € 1652 costo totale € 202788 L’analisi di costoefficacia ha dimostrato come il costo per identificare correttamente un paziente con malattia coronarica decresce notevolmente all’aumentare della probabilità pretest La coronaroTC presenta un rapporto costoefficacia più favorevole rispetto alla coronarografia fino all’86 di probabilità pretest


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