Impact of stereotaxic core breast biopsy on cost of diagnosis Journal Article
| Authors: | Liberman, L.; Fahs, M. C.; Dershaw, D. D.; Bonaccio, E.; Abramson, A. F.; Cohen, M. A.; Hann, L. E. |
| Article Title: | Impact of stereotaxic core breast biopsy on cost of diagnosis |
| Abstract: | PURPOSE: To determine the frequency with which stereotaxic core biopsy of the breast obviated diagnostic surgical biopsy and to estimate the savings in cost of diagnosis with this procedure. MATERIALS AND METHODS: Stereotaxic core biopsy of 182 nonpalpable, mammographically evident lesions was performed, and data from clinical follow-up were obtained. Savings in cost were assessed by using national Medicare reimbursement data and a relative value system based on national physician reviews (Relative Values for Physicians [RVP]). RESULTS: Stereotaxic core biopsy replaced a surgical procedure in 140 of 182 patients. The mean adjusted direct savings in cost per stereotaxic core biopsy were $893 (Medicare) or $1,491 (RVP). Use of stereotaxic core biopsy decreased the cost of diagnosis by 52% (RVP) or 55% (Medicare). CONCLUSION: Stereotaxic core biopsy obviated surgical biopsy for most nonpalpable lesions sampled, resulting in a greater than 50% reduction in biopsy costs. If these results were generalizable to the national level, annual savings would approach $200 million. |
| Keywords: | cost control; cost effectiveness analysis; health care cost; medicare; reimbursement; mammography; cost-effectiveness; breast biopsy; breast lesion; stereotaxic surgery; human; priority journal; article; breast neoplasms, diagnosis; breast, biopsy |
| Journal Title: | Radiology |
| Volume: | 195 |
| Issue: | 3 |
| ISSN: | 0033-8419 |
| Publisher: | Radiological Society of North America, Inc. |
| Date Published: | 1995-06-01 |
| Start Page: | 633 |
| End Page: | 637 |
| Language: | English |
| DOI: | 10.1148/radiology.195.3.7753986 |
| PUBMED: | 7753986 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 28 August 2018 -- Source: Scopus |
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