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A cost effective screening protocol for vestibular schwannoma in the late 90s

Published online by Cambridge University Press:  29 June 2007

K. V. Ravi
Affiliation:
Department of Otolaryngology, Musgrove Park Hospital, Taunton, Somerset, UK.
S. C. Wells*
Affiliation:
Department of Otolaryngology, Musgrove Park Hospital, Taunton, Somerset, UK.
*
Address for correspondence: Mr S. C. Wells, ENT Consultant, Musgrove Park Hospital, Taunton TA1 5DA. Fax 01823 342168.

Abstract

Magnetic resonance imaging (MRI) is the imaging modality of choice in diagnosing vestibular schwannoma (VS). Perceived high costs have prevented clinicians from using it as a screening investigation, although MR scanners are now widely available in the United Kingdon. In a retrospective study, the clinical records of all the patients who presented to the ENT department of Taunton and Someerset NHS Trust with suspected symptoms of VS during the year 1994 were analysed. The cost of confirming or refuting the diagnosis of VS in each patient ranged from £220.72 to £580.31 depending on the number of hospital visits and investigations performed. This study shows that the routine use of MR scanning for detection of VS is cost effective and more effective than the use of conventional tests.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Campbell, I. D., Royle, G. T. (1992) Breast cancer screening programmes: are they worthwhile? In Recent Advances in Surgery. 15. (Johnson, C. D. and Taylor, I., eds.), Churchill Livingstone, Edinburgh, pp. 122.Google Scholar
Jorgensen, B. G., Pedersen, C. B. (1994) Acoustic neuroma. Follow-up of 78 patients. Clinical Otolaryngology 19: 478484.CrossRefGoogle ScholarPubMed
Moffat, D. A., Hardy, D. G., Baguley, D. M. (1989) Strategy and benefits of acoustic neuroma searching. Journal of Laryngology and Otology 103: 5159.CrossRefGoogle ScholarPubMed
Phelps, P. D. (1991) Editorial: Current role of magnetic resonance imaging and gadolinium enhancement in current British ENT practice. Clinical Otolaryngology 16: 431432.CrossRefGoogle ScholarPubMed
Renowden, S. A., Anslow, P. (1993) The effective use of magnetic resonance imaging in the diagnosis of acoustic neuromas. Clinical Radiology 48: 2528.CrossRefGoogle ScholarPubMed
Robson, A. K., Leighton, S. E. J., Anslow, P., Milford, C. A. (1993) MRI as a single screening procedure for acoustic neuroma: a cost effective protocol. Journal of Royal Society of Medicine 86: 455457.CrossRefGoogle ScholarPubMed
Saeed, S. R., Woolford, T. J., Ramsden, R. T., Lye, R. H. (1995) Magnetic resonance imaging: a cost effective first line investigation in the detection of vestibular schwannomas. British Journal of Neurosurgery 9: 497503.CrossRefGoogle ScholarPubMed
Selesnick, S. H., Jackler, R. K., Pitts, L. W. (1993) The changing clinical presentation of acoustic tumours in the MRI era. Laryngoscope 103: 431436.CrossRefGoogle ScholarPubMed
Smith, I. M., Tumbull, L. W., Sellar, R. J., Murray, J. A. M., Best, J. J. K. (1990) A modified screening protocol for the diagnosis of acoustic neuromas. Clinical Otolaryngology 15: 167171.CrossRefGoogle ScholarPubMed
Swan, I. R. C., Gatehouse, S. (1991) Clinical and financial audit of diagnostic protocols for lesions of the cerebellopontine angle. British Medical Journal 302: 701704.CrossRefGoogle ScholarPubMed
Terkildsen, K., Thomsen, J. (1983) Editorial: Diagnostic screening for acoustic neuromas. Clinical Otolaryngology 8: 295296.Google ScholarPubMed
Welling, D. B., Glasscock, M. E. III, Woods, C. I., Jackson, C. G. (1990) Acoustic neuroma: A cost-effective approach. Otolaryngology-Head and Neck Surgery 103: 364370.CrossRefGoogle ScholarPubMed