Medical cost containment: Analysis of dual orthopedic/radiology interpretation of X-rays in the trauma patient

M. J. Bosse, R. J. Brumback, C. Hash

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to investigate the timing, accuracy, clinical impact, and cost of dual orthopedic and radiology interpretation of orthopedic trauma roentgenograms. Design: The investigation was performed in a combined retrospective-prospective fashion. Materials and Methods: Records of 25 retrospective and 25 prospective trauma patients with femoral fractures were reviewed and the radiology and orthopedic roentgenographic interpretations were compared in terms of four criteria: timing, accuracy, clinical impact, and cost. Measurements and Main Results: The orthopedic surgeons documented reading 85% of 272 acute roentgenograms in the retrospective patients and 89% of 181 roentgenograms in the prospective patients. The orthopedist readings were immediate, 100% accurate, had significant impact on the patients' care, and incurred no additional cost. The radiologists read 59 and 75% of the retrospective and prospective roentgenograms, respectively. The accuracy rate was 94 and 96%, the time to reading averaged 7 and 4.6 days, and the estimated cost averaged $393 and $200 per patient, respectively. The radiologist readings had no impact on patient care. Conclusion: This study suggests that routine radiology consultation of musculoskeletal films read by the orthopedic surgeon is not required for the care of the acute trauma patient.

Original languageEnglish (US)
Pages (from-to)220-222
Number of pages3
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume38
Issue number2
StatePublished - 1995
Externally publishedYes

Fingerprint

Cost Control
Radiology
Orthopedics
X-Rays
Reading
Costs and Cost Analysis
Wounds and Injuries
Patient Care
Femoral Fractures
Referral and Consultation
Orthopedic Surgeons
Radiologists

Keywords

  • Cost containment
  • Orthopedics
  • radiology
  • Roentgenographic interpretation

ASJC Scopus subject areas

  • Surgery

Cite this

Medical cost containment : Analysis of dual orthopedic/radiology interpretation of X-rays in the trauma patient. / Bosse, M. J.; Brumback, R. J.; Hash, C.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 38, No. 2, 1995, p. 220-222.

Research output: Contribution to journalArticle

@article{28c2ded0275648ef93324206eb37eb7b,
title = "Medical cost containment: Analysis of dual orthopedic/radiology interpretation of X-rays in the trauma patient",
abstract = "Objective: The purpose of this study was to investigate the timing, accuracy, clinical impact, and cost of dual orthopedic and radiology interpretation of orthopedic trauma roentgenograms. Design: The investigation was performed in a combined retrospective-prospective fashion. Materials and Methods: Records of 25 retrospective and 25 prospective trauma patients with femoral fractures were reviewed and the radiology and orthopedic roentgenographic interpretations were compared in terms of four criteria: timing, accuracy, clinical impact, and cost. Measurements and Main Results: The orthopedic surgeons documented reading 85{\%} of 272 acute roentgenograms in the retrospective patients and 89{\%} of 181 roentgenograms in the prospective patients. The orthopedist readings were immediate, 100{\%} accurate, had significant impact on the patients' care, and incurred no additional cost. The radiologists read 59 and 75{\%} of the retrospective and prospective roentgenograms, respectively. The accuracy rate was 94 and 96{\%}, the time to reading averaged 7 and 4.6 days, and the estimated cost averaged $393 and $200 per patient, respectively. The radiologist readings had no impact on patient care. Conclusion: This study suggests that routine radiology consultation of musculoskeletal films read by the orthopedic surgeon is not required for the care of the acute trauma patient.",
keywords = "Cost containment, Orthopedics, radiology, Roentgenographic interpretation",
author = "Bosse, {M. J.} and Brumback, {R. J.} and C. Hash",
year = "1995",
language = "English (US)",
volume = "38",
pages = "220--222",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Medical cost containment

T2 - Analysis of dual orthopedic/radiology interpretation of X-rays in the trauma patient

AU - Bosse, M. J.

AU - Brumback, R. J.

AU - Hash, C.

PY - 1995

Y1 - 1995

N2 - Objective: The purpose of this study was to investigate the timing, accuracy, clinical impact, and cost of dual orthopedic and radiology interpretation of orthopedic trauma roentgenograms. Design: The investigation was performed in a combined retrospective-prospective fashion. Materials and Methods: Records of 25 retrospective and 25 prospective trauma patients with femoral fractures were reviewed and the radiology and orthopedic roentgenographic interpretations were compared in terms of four criteria: timing, accuracy, clinical impact, and cost. Measurements and Main Results: The orthopedic surgeons documented reading 85% of 272 acute roentgenograms in the retrospective patients and 89% of 181 roentgenograms in the prospective patients. The orthopedist readings were immediate, 100% accurate, had significant impact on the patients' care, and incurred no additional cost. The radiologists read 59 and 75% of the retrospective and prospective roentgenograms, respectively. The accuracy rate was 94 and 96%, the time to reading averaged 7 and 4.6 days, and the estimated cost averaged $393 and $200 per patient, respectively. The radiologist readings had no impact on patient care. Conclusion: This study suggests that routine radiology consultation of musculoskeletal films read by the orthopedic surgeon is not required for the care of the acute trauma patient.

AB - Objective: The purpose of this study was to investigate the timing, accuracy, clinical impact, and cost of dual orthopedic and radiology interpretation of orthopedic trauma roentgenograms. Design: The investigation was performed in a combined retrospective-prospective fashion. Materials and Methods: Records of 25 retrospective and 25 prospective trauma patients with femoral fractures were reviewed and the radiology and orthopedic roentgenographic interpretations were compared in terms of four criteria: timing, accuracy, clinical impact, and cost. Measurements and Main Results: The orthopedic surgeons documented reading 85% of 272 acute roentgenograms in the retrospective patients and 89% of 181 roentgenograms in the prospective patients. The orthopedist readings were immediate, 100% accurate, had significant impact on the patients' care, and incurred no additional cost. The radiologists read 59 and 75% of the retrospective and prospective roentgenograms, respectively. The accuracy rate was 94 and 96%, the time to reading averaged 7 and 4.6 days, and the estimated cost averaged $393 and $200 per patient, respectively. The radiologist readings had no impact on patient care. Conclusion: This study suggests that routine radiology consultation of musculoskeletal films read by the orthopedic surgeon is not required for the care of the acute trauma patient.

KW - Cost containment

KW - Orthopedics

KW - radiology

KW - Roentgenographic interpretation

UR - http://www.scopus.com/inward/record.url?scp=0028941302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028941302&partnerID=8YFLogxK

M3 - Article

C2 - 7869439

AN - SCOPUS:0028941302

VL - 38

SP - 220

EP - 222

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 2

ER -