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Titolo:
ULTRASOUND-GUIDED LIVER-BIOPSY FOR PARENCHYMAL LIVER-DISEASE - AN ECONOMIC-ANALYSIS
Autore:
YOUNOSSI ZM; TERAN JC; GANIATS TG; CAREY WD;
Indirizzi:
CLEVELAND CLIN FDN,DEPT GASTROENTEROL,DESK S-40,9500 EUCLID AVE CLEVELAND OH 44195 UNIV CALIF SAN DIEGO,DIV FAMILY & PREVENT MED SAN DIEGO CA 92103
Titolo Testata:
Digestive diseases and sciences
fascicolo: 1, volume: 43, anno: 1998,
pagine: 46 - 50
SICI:
0163-2116(1998)43:1<46:ULFPL->2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Keywords:
LIVER BIOPSY; ULTRASOUND GUIDANCE; ECONOMIC ANALYSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
8
Recensione:
Indirizzi per estratti:
Citazione:
Z.M. Younossi et al., "ULTRASOUND-GUIDED LIVER-BIOPSY FOR PARENCHYMAL LIVER-DISEASE - AN ECONOMIC-ANALYSIS", Digestive diseases and sciences, 43(1), 1998, pp. 46-50

Abstract

The use of ultrasound (US) to assist in liver biopsy for nonfocal liver disease has been shown to significantly decrease the incidence of minor complications (defined as pain requiring treatment, hypotension, or bleeding). Ln this study, decision analysis was used to estimate the average additional net charge for US guidance. The risks for minor and major complications were extracted from the literature. The incidence of minor complications such as pain and bleeding not requiring hospitalization has been reported as 49% for blind liver biopsy and 39% for US-guided liver biopsy. Major complications requiring hospital admission occur in 4% of blind liver biopsies and 2% of US-guided liver biopsies. A decision tree was used to calculate the total charges of liver biopsy and its associated complications. The charge for treating an episode of minor complications was estimated at $605. The charge related to an episode of major complications was estimated at $1533. The total charge for an ultrasound-guided liver biopsy (except the added charge for the use of ultrasound) was $1770, or $102 less than the same charge for blind liver biopsy. The addition of ultrasound in performingliver biopsies for diffuse parenchymal liver disease is cost-saving if the additional charge of US is less than $102.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 06:52:23