Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare
Accepted manuscript version. Source at: https://doi.org/10.1080/21681805.2016.1254680 Objective - The aim of this study was to investigate the benefits of deferred routine computed tomography of the kidneys, ureters and bladder (CT KUB) for patients with a self-limiting episode of suspected urolithi...
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Online Access: | https://hdl.handle.net/10037/13939 https://doi.org/10.1080/21681805.2016.1254680 |
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ftunivtroemsoe:oai:munin.uit.no:10037/13939 2023-05-15T17:39:23+02:00 Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare Rosenlund, Ingvild Mathiesen Førde, Olav Helge Revhaug, Arthur 2016-11-23 https://hdl.handle.net/10037/13939 https://doi.org/10.1080/21681805.2016.1254680 eng eng Taylor & Francis Rosenlund, I.M. (2019). Too much medicine? A study investigating unwarranted regional variation and use of medical care. (Doctoral thesis). https://hdl.handle.net/10037/15586 . Scandinavian journal of urology Rosenlund, I.M., Førde, O.H. & Revhaug, A. (2017). Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare. Scandinavian journal of urology, 51 (1), 62-67. https://doi.org/10.1080/21681805.2016.1254680 FRIDAID 1419763 doi:10.1080/21681805.2016.1254680 2168-1805 2168-1813 https://hdl.handle.net/10037/13939 openAccess VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Nephrology urology: 772 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nefrologi urologi: 772 Journal article Tidsskriftartikkel Peer reviewed 2016 ftunivtroemsoe https://doi.org/10.1080/21681805.2016.1254680 2021-06-25T17:55:36Z Accepted manuscript version. Source at: https://doi.org/10.1080/21681805.2016.1254680 Objective - The aim of this study was to investigate the benefits of deferred routine computed tomography of the kidneys, ureters and bladder (CT KUB) for patients with a self-limiting episode of suspected urolithiasis. Materials and methods - The study comprised a case series of consecutive patients examined with deferred routine CT KUB for control of suspected urolithiasis. Patients examined with CT KUB at the University Hospital of North Norway, between 1 January 2010 and 31 December 2013, were included. The final analysis included 189 CT KUBs (response rate 48%). All data were extracted from the patient case files. The primary endpoint was the proportion of asymptomatic patients with a confirmed diagnosis of urolithiasis on CT KUB that led to surgical intervention within 1 year from the initial CT scan. Results - At the time of CT KUB, 171 patients (90%) were asymptomatic, of whom three (1.8%) were treated. Urolithiasis was confirmed on CT KUB in 23% of asymptomatic patients. Conclusion - Deferred CT KUB did not alter the clinical outcome for the great majority of asymptomatic patients. The majority of patients who received adequate pain relief in primary care remained asymptomatic, and did not need specialized healthcare. Refraining from CT KUB involves little risk. Deferred CT KUB for patients with suspected urolithiasis is a low-value healthcare service. Article in Journal/Newspaper North Norway University of Tromsø: Munin Open Research Archive Norway Scandinavian Journal of Urology 51 1 62 67 |
institution |
Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Nephrology urology: 772 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nefrologi urologi: 772 |
spellingShingle |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Nephrology urology: 772 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nefrologi urologi: 772 Rosenlund, Ingvild Mathiesen Førde, Olav Helge Revhaug, Arthur Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
topic_facet |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Nephrology urology: 772 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nefrologi urologi: 772 |
description |
Accepted manuscript version. Source at: https://doi.org/10.1080/21681805.2016.1254680 Objective - The aim of this study was to investigate the benefits of deferred routine computed tomography of the kidneys, ureters and bladder (CT KUB) for patients with a self-limiting episode of suspected urolithiasis. Materials and methods - The study comprised a case series of consecutive patients examined with deferred routine CT KUB for control of suspected urolithiasis. Patients examined with CT KUB at the University Hospital of North Norway, between 1 January 2010 and 31 December 2013, were included. The final analysis included 189 CT KUBs (response rate 48%). All data were extracted from the patient case files. The primary endpoint was the proportion of asymptomatic patients with a confirmed diagnosis of urolithiasis on CT KUB that led to surgical intervention within 1 year from the initial CT scan. Results - At the time of CT KUB, 171 patients (90%) were asymptomatic, of whom three (1.8%) were treated. Urolithiasis was confirmed on CT KUB in 23% of asymptomatic patients. Conclusion - Deferred CT KUB did not alter the clinical outcome for the great majority of asymptomatic patients. The majority of patients who received adequate pain relief in primary care remained asymptomatic, and did not need specialized healthcare. Refraining from CT KUB involves little risk. Deferred CT KUB for patients with suspected urolithiasis is a low-value healthcare service. |
format |
Article in Journal/Newspaper |
author |
Rosenlund, Ingvild Mathiesen Førde, Olav Helge Revhaug, Arthur |
author_facet |
Rosenlund, Ingvild Mathiesen Førde, Olav Helge Revhaug, Arthur |
author_sort |
Rosenlund, Ingvild Mathiesen |
title |
Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
title_short |
Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
title_full |
Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
title_fullStr |
Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
title_full_unstemmed |
Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
title_sort |
routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare |
publisher |
Taylor & Francis |
publishDate |
2016 |
url |
https://hdl.handle.net/10037/13939 https://doi.org/10.1080/21681805.2016.1254680 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_relation |
Rosenlund, I.M. (2019). Too much medicine? A study investigating unwarranted regional variation and use of medical care. (Doctoral thesis). https://hdl.handle.net/10037/15586 . Scandinavian journal of urology Rosenlund, I.M., Førde, O.H. & Revhaug, A. (2017). Routine deferred computed tomography for patients with suspected urolithiasis is low-value healthcare. Scandinavian journal of urology, 51 (1), 62-67. https://doi.org/10.1080/21681805.2016.1254680 FRIDAID 1419763 doi:10.1080/21681805.2016.1254680 2168-1805 2168-1813 https://hdl.handle.net/10037/13939 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1080/21681805.2016.1254680 |
container_title |
Scandinavian Journal of Urology |
container_volume |
51 |
container_issue |
1 |
container_start_page |
62 |
op_container_end_page |
67 |
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1766140142159921152 |