0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Cost-effectiveness of Pulmonary Embolism Diagnosis

Russell D. Hull, MBBS; William Feldstein, MBA; Paul D. Stein, MD; Graham F. Pineo, MD
Arch Intern Med. 1996;156(1):68-72. doi:10.1001/archinte.1996.00440010086011.
Text Size: A A A
Published online

Background:  In recent years, improvements in the methods of clinical trials and the use of objective tests to detect venous thrombosis have enhanced the clinician's ability to diagnose pulmonary embolism.

Objective:  To perform a cost-effectiveness analysis of the commonly recommended strategies for pulmonary embolism diagnosis and management.

Methods:  Two criteria of effectiveness were used: correct identification of pulmonary embolism and correct identification of patients in whom treatment was unnecessary. The cost of each diagnostic alternative was defined as the direct cost of administering the diagnostic test plus the treatment cost associated with a positive test result. Data derived from a decision analysis published separately on 662 patients were used for this study.

Results:  A strategy based on the use of ventilation-perfusion lung scans, serial impedance plethysmography, and pulmonary angiography was the most cost-effective. It remained so under all possible variations within the sensitivity analysis.

Conclusions:  The strategy that requires pulmonary angiography in the fewest patients is a combination of ventilation-perfusion lung scans and serial impedance plethysmography. This strategy also proved to be the most cost-effective.(Arch Intern Med. 1996;156:68-72)

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 48

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();