Tough To Say No To CT Scans In Emergency Rooms : Shots - Health News Blog : NPR

A trip to the emergency room today is likely to trigger a round of routine diagnostic tests from blood work to an electrocardiogram to a urine sample. And increasingly, there's one more on that list: the CT scan. A new study shows that CT, or computerized tomography, has increased in ERs nearly six-fold since 1995 and shows no sign of tapering off.

Andrew Ciscel via Wikimedia Commons

A CT scan of the brain shows the cerebellum, a small portion of each temporal lobe, and the sinuses.

CT, a radiology tool that once took nine days to finish, was used 16.2 million times in 2007 to diagnose headaches, stomach aches, back pain, chest pain and the like. That was a huge increase from 1995 when it was used 2.7 million times, according to the paper published online in the journal Radiology.

via npr.org

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Should tobacco companies pay for smokers' CT scans to screen for lung cancer?

According to a potential ruling in Massachusetts, tobacco companies will have to pay for smokers’ screening CT scans.

The Boston Globe (via Doug Farrago) writes that the decision “would allow thousands of other Massachusetts smokers to join the lawsuit, which covers people 50 or older who have smoked at least one pack a day of Marlboro cigarettes for at least 20 years,” and, “if a jury sides with the smokers, Philip Morris could be required to pay for each patient’s low-dose computed tomography scan, which can detect early-stage lung cancer.”

Now, I’m all for penalizing tobacco companies, but there some unintended consequences here.

First, there is no evidence that CT scans for early detection of lung cancer saves lives. In fact, the USPSTF doesn’t recommend it.

Second, what happens if the CT scan detects all sorts incidental findings, like benign masses that necessitate further workup? Indeed, a lung biopsy may be needed to definitively exclude cancer, which itself can lead to bleeding, infection, or other complications.

Would the tobacco companies pay for the additional tests that stem from the screening CT scan? If not, this decision will only further fiscally burden our health system.

Similar Posts:

• CT scans for lung cancer screening may not save lives
• Screening for lung cancer with a CT scan: What the NLST results mean
• Lung cancer CT screening produces false positives and isn’t ready for prime time
• Cancer screening and treatment cannot focus on mortality alone
• Radiation from CT scans increases the risk of cancer

Tagged as: Cancer, Patient, Primary care, Radiology, Specialist

via kevinmd.com

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