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Costs of unstructured investigation of unexplained syncope: insights from a micro-costing analysis of the observational PICTURE registry.

Edvardsson N, Wolff C, Tsintzos S, Rieger G, Linker NJ - Europace (2015)

Bottom Line: In the 12% of patients with types of tests entirely within the recommendations for an initial evaluation before ILR implant, the mean cost was £710.Important opportunities to reduce test-related costs before an ILR implant were identified, e.g. by more appropriate use of tests recommended in the initial evaluation, by decreasing repetition of tests, and by avoiding early use of specialized and expensive tests.A structured multidisciplinary approach would be the best model to achieve an optimal outcome.

View Article: PubMed Central - PubMed

Affiliation: Sahlgrenska Academy at Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden nils.g.edvardsson@telia.com.

No MeSH data available.


Related in: MedlinePlus

The tests performed per patient. (A) The box shows the IQR and that the middle 50% of the patients had between 9 and 20 tests. The line inside the box defines the median number of tests (13). The line is below the middle of the box illustrating that the median is smaller than the mean (17). The whiskers around the box are drawn at 1.5 times the IQR, with the upper whisker at 36.5 tests. The black dots outside the whiskers are considered as outliers. The box plot illustrates that many patients received far more than the median number of tests. (B) The histogram shows the tests performed by patient in more detail. Note that patients who had more than 100 tests are only shown in the box plot.
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EUU412F2: The tests performed per patient. (A) The box shows the IQR and that the middle 50% of the patients had between 9 and 20 tests. The line inside the box defines the median number of tests (13). The line is below the middle of the box illustrating that the median is smaller than the mean (17). The whiskers around the box are drawn at 1.5 times the IQR, with the upper whisker at 36.5 tests. The black dots outside the whiskers are considered as outliers. The box plot illustrates that many patients received far more than the median number of tests. (B) The histogram shows the tests performed by patient in more detail. Note that patients who had more than 100 tests are only shown in the box plot.

Mentions: The total number of tests performed per patient is shown in Figure 2A and B. As shown in the box plot and histogram, there is a lot of variation in the number of tests per patient and some patients received a large number of tests. In fact, as many as 25% of the patients underwent more than 20 tests, whereas 10% had more than 31 tests done.Figure 2


Costs of unstructured investigation of unexplained syncope: insights from a micro-costing analysis of the observational PICTURE registry.

Edvardsson N, Wolff C, Tsintzos S, Rieger G, Linker NJ - Europace (2015)

The tests performed per patient. (A) The box shows the IQR and that the middle 50% of the patients had between 9 and 20 tests. The line inside the box defines the median number of tests (13). The line is below the middle of the box illustrating that the median is smaller than the mean (17). The whiskers around the box are drawn at 1.5 times the IQR, with the upper whisker at 36.5 tests. The black dots outside the whiskers are considered as outliers. The box plot illustrates that many patients received far more than the median number of tests. (B) The histogram shows the tests performed by patient in more detail. Note that patients who had more than 100 tests are only shown in the box plot.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4482287&req=5

EUU412F2: The tests performed per patient. (A) The box shows the IQR and that the middle 50% of the patients had between 9 and 20 tests. The line inside the box defines the median number of tests (13). The line is below the middle of the box illustrating that the median is smaller than the mean (17). The whiskers around the box are drawn at 1.5 times the IQR, with the upper whisker at 36.5 tests. The black dots outside the whiskers are considered as outliers. The box plot illustrates that many patients received far more than the median number of tests. (B) The histogram shows the tests performed by patient in more detail. Note that patients who had more than 100 tests are only shown in the box plot.
Mentions: The total number of tests performed per patient is shown in Figure 2A and B. As shown in the box plot and histogram, there is a lot of variation in the number of tests per patient and some patients received a large number of tests. In fact, as many as 25% of the patients underwent more than 20 tests, whereas 10% had more than 31 tests done.Figure 2

Bottom Line: In the 12% of patients with types of tests entirely within the recommendations for an initial evaluation before ILR implant, the mean cost was £710.Important opportunities to reduce test-related costs before an ILR implant were identified, e.g. by more appropriate use of tests recommended in the initial evaluation, by decreasing repetition of tests, and by avoiding early use of specialized and expensive tests.A structured multidisciplinary approach would be the best model to achieve an optimal outcome.

View Article: PubMed Central - PubMed

Affiliation: Sahlgrenska Academy at Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden nils.g.edvardsson@telia.com.

No MeSH data available.


Related in: MedlinePlus