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Cost-effective screening for cerebral aneurysms
1Department of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia, USA.
Neurosurgery Clinics of North America
|July 21, 1998
Summary
Accurate, noninvasive angiography may enable early cerebral aneurysm screening. This article examines the medical and economic factors influencing the feasibility and cost-effectiveness of widespread screening programs.
Area of Science:
- Medical imaging
- Neurology
- Health economics
Background:
- Cerebral aneurysms are a significant cause of morbidity and mortality.
- Advances in noninvasive angiography offer potential for early detection.
- Premorbid screening for cerebral aneurysms is a developing area of interest.
Purpose of the Study:
- To discuss the medical and economic considerations for large-scale cerebral aneurysm screening.
- To evaluate the conditions under which screening would be appropriate.
- To assess the cost-effectiveness of widespread aneurysm screening.
Main Methods:
- Review of current noninvasive angiography techniques.
- Analysis of medical criteria for screening eligibility.
- Economic modeling of screening program implementation.
Main Results:
- Noninvasive angiography is becoming increasingly accurate for detecting cerebral aneurysms.
- Screening appropriateness depends on factors like aneurysm prevalence and rupture risk.
- Cost-effectiveness is contingent on screening protocols and treatment costs.
Conclusions:
- Widespread cerebral aneurysm screening is potentially feasible with advanced angiography.
- Careful consideration of medical and economic factors is crucial for successful implementation.
- Further research is needed to optimize screening strategies and confirm cost-effectiveness.