Value-based radiology cannot thrive without reforms and research

Kwee, Thomas C.; Yakar, Derya; Pennings, Jan Pieter; Kasalak, Ömer

doi:10.1007/s00330-022-08583-z

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…However, this is a complex issue, as for the great majority of clinical imaging applications, evidence on whether or not they improve patient outcome and are cost-effective, is lacking. 26 Answering these questions require considerable future research efforts. Fourth, only the costs of subsequent medical procedures after initial detection were calculated for each incidentaloma that turned out to be benign or of lowrisk malignant potential.…”

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confidence: 99%

Incidental imaging findings referred to a specialized sarcoma center: Frequency, determinants, and downstream healthcare costs

et al. 2022

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confidence: 99%

Incidental imaging findings referred to a specialized sarcoma center: Frequency, determinants, and downstream healthcare costs

et al. 2022

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“…Additionally, specialists' behavior and education can also have driven the prescription of radiology exams. Studies have highlighted that reassuring patients is a leading reason for prescription, sometimes inducing professionals to practice defensive medicine [22][23][24]. Lastly, the social context may have driven the culture of overuse regarding health and healthcare issues.…”

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Diagnostic Technology: Trends of Use and Availability in a 10-Year Period (2011–2020) among Sixteen OECD Countries

2023

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Background. Overuse of imaging results in cost increases, with little to no benefit to patients. The purpose of this study is to evaluate imaging tests and radiology equipment over a ten-year period in 16 Organisation for Economic Co-operation and Development (OECD) countries. Methods. Twelve countries were included in a time-trend analysis based on OECD indicators on diagnostic imaging (computer tomography [CT], magnetic resonance imaging [MRI], and positron emission tomography [PET]). These annual indicators included the number of exams per 1000 population, the number of devices per million population, and the number of exams per device. Average annual percent change was used to measure country-specific trends. Results. Most countries saw a rise in the exam-to-scanner ratio for CT, MRI, and PET, demonstrating a faster increase in exam volume than device volume. Italy exhibited an increase in CT, MRI, and PET equipment units during the same period, but not in exams, most likely due to a reduction in medical procedures during the pandemic. Only in Luxemburg, CT and PET examinations increased despite a reduction in scanners. Conclusions. Considering the expected increasing demand for diagnostics due to the evolving needs of the population, proper governance and resource allocation are necessary requirements for cost-efficient health systems.

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