naa a22 4500 510747264 CHVBK 20180411083051.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11547-013-0948-5 doi (NATIONALLICENCE)springer-10.1007/s11547-013-0948-5 Inappropriateness of breast imaging: cost analysis [Elektronische Daten] [Chiara Pistolese, Anna Ciarrapico, Francesca della Gatta, Giovanni Simonetti] Inappropriatezza della diagnostica senologica: analisi dei costi Purpose: The aim of this study was to assess how an incorrect indication for an examination may affect the diagnostic workup and diagnosis as well as healthcare expenditure. Materials and methods: We considered all the requests for breast imaging (mammography, ultrasound and magnetic resonance imaging) received by our radiology department between October 2010 and December 2010, and assessed their appropriateness based on the patient's age and the clinical question, if present. We then analysed the unnecessary costs resulting from inappropriate requests. Results: Out of a total of 1500 requests for ultrasound examination, the request was appropriate in 855 (57%) cases; out of a total of 2350 requests for mammography, the request was appropriate in 493 (21%) cases; out of a total of 100 requests for magnetic resonance imaging, the request was appropriate in 83 (83%) cases. The cost deriving from inappropriate requests was 51,235.04 Euros. Conclusions: Improving the timeliness of diagnosis is an important goal to be pursued by enhancing the available health services, improving communication and coordination of the different professionals involved and optimising diagnostic pathways in order to reduce healthcare spending. Springer-Verlag Italia, 2013 Breast nationallicence Cost analysis nationallicence Breast imaging nationallicence Breast cancer nationallicence Mammella nationallicence Analisi dei costi nationallicence Diagnostica senologica nationallicence Tumore della mammella nationallicence Pistolese Chiara Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut Ciarrapico Anna Dipartimento di Sanità Pubblica e Biologia Molecolare, Università degli Studi di Roma Tor Vergata (PTV), Rome, Italy aut della Gatta Francesca Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut Simonetti Giovanni Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut La radiologia medica Springer Milan 118/6(2013-09-01), 984-994 0033-8362 118:6<984 2013 118 11547 https://doi.org/10.1007/s11547-013-0948-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-013-0948-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pistolese Chiara Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Ciarrapico Anna Dipartimento di Sanità Pubblica e Biologia Molecolare, Università degli Studi di Roma Tor Vergata (PTV), Rome, Italy aut NATIONALLICENCE 700 1- della Gatta Francesca Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Simonetti Giovanni Dipartimento di Diagnostica per Immagini, Imaging Molecolare, Radiologia Interventistica e Terapia Radiante, IRCS Policlinico Universitario di Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/6(2013-09-01), 984-994 0033-8362 118:6<984 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer