Cardiac magnetic resonance imaging in today's economic climate; a cost effectiveness analysis
© Hegde et al; licensee BioMed Central Ltd. 2011
Published: 2 February 2011
In the face of the current health care crisis, significant concerns have been raised about the independent clinical utilities of various cardiac imaging modalities. Particularly, Cardiac Magnetic Resonance (CMR) has been labeled “an expensive pretty picture” by some clinicians as compared to other diagnostic modalities.
We hypothesized that results of CMR would independently impact patient management in a cost effective manner.
We retrospectively reviewed charts of 361 patients (pts) undergoing CMR exams for a variety of indications at two centers in Western Pennsylvania. While Center 1 was an academic center, Center 2 was a private community hospital. Patient outcomes were assessed and the costs of ordering CMR were compared against the benefits to see if CMR indeed resulted in health care savings.
CMR, when appropriately ordered, independently contributes to patient management, and triggers a major impact on therapeutic decisions in a cost effective manner. As an autonomous diagnostic modality, CMR prevents layered testing and serves a gate keeping function, highlighting the prudent use of cost effective technology.
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