Cost effectiveness and the role of the National Institute of Health and Care Excellence (NICE) in interventional radiology

Maudgil, David

doi:10.1016/j.crad.2020.09.017

Cited by 11 publications

(7 citation statements)

References 77 publications

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“…In an increasing number of jurisdictions, a threshold for an additional unit of health gain, expressed in a quality-adjusted life year, is used to determine whether a therapy provides value for money. In Figure 8, the threshold shows how effectiveness and costs of new interventions can be evaluated (16).…”

Section: Maximizing Patient Value Considering the Local Resourcesmentioning

confidence: 99%

New Frontiers for Fairer Breast Cancer Care in a Globalized World

Verhoeven

Allemani

Kaufman

et al. 2021

EJBH

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In early 2020, the book "Breast cancer: Global Quality Care" was published by Oxford University Press. In the year since then, publications, interviews (by ecancer), presentations, webinars, and virtual congress have been organized to disseminate further the main message of the project: "A call for Fairer Breast Cancer Care for all Women in a Globalized World." Special attention is paid to increasing the "value-based healthcare" putting the patient in the center of the care pathway and sharing information on high-quality integrated breast cancer care. Specific recommendations are made considering the local resource facilities. The multidisciplinary breast conference is considered "the jewel in the crown" of the integrated practice unit, connecting multiple specializations and functions concerned with patients with breast cancer. Management and coordination of medical expertise, facilities, and their interfaces are highly recommended. The participation of two world-leading cancer research programs, the CONCORD program and Breast Health Global Initiative, in this project has been particularly important. The project is continuously under review with feedback from the faculty. The future plan is to arrive at an openaccess publication that is freely available to all interested people. This project is designed to help ease the burden and suffering of women with breast cancer across the globe.

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Section: Maximizing Patient Value Considering the Local Resourcesmentioning

confidence: 99%

New Frontiers for Fairer Breast Cancer Care in a Globalized World

Verhoeven

Allemani

Kaufman

et al. 2021

EJBH

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“…It is anticipated that healthcare prices will rise even further. It includes the cost of diagnostics and radiographic techniques like magnetic resonance imaging (MRI), computerized tomography (CT), and ultrasound 4 …”

Section: Introductionmentioning

confidence: 99%

“…It includes the cost of diagnostics and radiographic techniques like magnetic resonance imaging (MRI), computerized tomography (CT), and ultrasound. 4 Given that diagnostic procedures are expensive, it is crucial to closely control and monitor associated expenses. 5 Diagnostic imaging in all of its forms is responsible for a sizable portion of these costs.…”

mentioning

confidence: 99%

An economic impact of incorrect referrals for MRI and CT scans: A retrospective analysis

Baiguissova

Laghi

Rakhimbekova

et al. 2023

Health Science Reports

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Background and Aims: Up to date, no research on the economic efficacy of diagnostic modalities, such as magnetic resonance imaging (MRI) and computerized tomography (CT), has been done in Central Asia. The aim of this study was to analyse the inappropriate appointments of MRI and CT scanning procedures in Kazakhstan.Methods: We used the imaging diagnostic reports and medical records from 9725 planned outpatient CT and MRI exams performed in two major hospitals in Almaty.The study period was for the period 2014-2019. The independent expertsradiologists evaluated the MRI and CT exams for validity using the ACR ® compliance standards and RCR recommendations.

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“…Compared to conventional surgery, this alternative boasts improved cost-effectiveness and reduced complication rates. [1,2] Such innovation in imaging modality and techniques has driven a transformation in interventional musculoskeletal radiology, particularly concerning the spine. Various options are now available for managing pain, fractures, and tumors using percutaneous radiological intervention, ranging from steroid injections and radiofrequency ablation (RFA) to percutaneous biopsies and vertebral augmentation.…”

Section: Introductionmentioning

confidence: 99%

Safe radiological spinal intervention: A multicenter snapshot survey of musculoskeletal radiologists in the UK and India

Aslam

Iyengar

Sharma

et al. 2022

IJMS

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Objectives: Research, knowledge, and technological advances have promoted minimally invasive image-guided diagnostic and therapeutic intervention. Such interventions are increasingly performed for musculoskeletal diseases by radiologists within outpatient settings. The objective of this study was to ascertain levels of safe practice among musculoskeletal radiologists in the United Kingdom and the Indian public health-care system, as defined by access to spinal surgeons and anesthetists during radiological spinal procedures. Material and Methods: An online cross-sectional survey of eight questions (multiple choice and free text) was circulated among musculoskeletal radiologists in the UK and India, to evaluate: (i) Image-guided practice among musculoskeletal radiologists. (ii) Types of interventions undertaken. (iii) Practice setting. (iv) Availability of supportive, backup access to spinal surgery services. Results: A total of 53 replies were received of which 43 (81.1%) were from musculoskeletal radiologists who perform spinal interventional procedures. Spinal biopsies and injections were the most common procedures performed by the 43 eligible radiologists (79.1% and 74.4%, respectively), with vertebroplasty and sacroplasty performed by only 16.3% and 11.6%, respectively. Less than half (46.5%) of musculoskeletal radiologists performing interventional procedures did so within a hospital setting with both a spinal surgeon and an anesthetist on site, 20.9% had an anesthetist on site but no spinal surgeon and 16.3% had neither on-site. Conclusion: Minimally invasive image-guided diagnostic and therapeutic intervention is a niche sub-specialty practiced by a few musculoskeletal radiologists. Enhanced resource allocation, skills training, and multidisciplinary service provision will ultimately minimize existing deficiencies, improving patient-related clinical outcomes, and quality of care.

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Cost effectiveness and the role of the National Institute of Health and Care Excellence (NICE) in interventional radiology

Cited by 11 publications

References 77 publications

New Frontiers for Fairer Breast Cancer Care in a Globalized World

New Frontiers for Fairer Breast Cancer Care in a Globalized World

An economic impact of incorrect referrals for MRI and CT scans: A retrospective analysis

Safe radiological spinal intervention: A multicenter snapshot survey of musculoskeletal radiologists in the UK and India

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