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Lawrance Lee¹, Albina S Islam¹, Lauren Sterlin²

¹Department of Otolaryngology-Head & Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

|October 23, 2024

概括

在MRI中发现的非对称感神经听力损失 (ASNHL) 的偶发瘤比疾病本身更常见. 这些意想不到的发现给患者和医疗保健系统带来了巨大的成本.

科学领域:

放射学放射学是一门学科.
耳鼻喉科耳鼻喉科耳鼻喉科
卫生经济学卫生经济学

背景情况:

与对比度增强的MRI是诊断非对称感应神经听力损失 (ASNHL) 的黄金标准.
虽然前庭神经瘤检测率较低 (<5%),但MRI被认为是ASNHL评估的成本效益较高.
在ASNHL工作期间,意外瘤或意想不到的发现的影响往往被忽视.

研究的目的:

为了确定ASNHL的处理过程中偶然瘤的发生率.
量化与ASNHL调查中发现的偶发性瘤相关的社会经济负担.

主要方法:

在一个单一的学术机构进行了一项回顾性队列研究.
审查了2012年1月至2022年11月期间接受ASNHLMRI的患者的放射学记录.
发现被分类,并使用医疗保险,私人保险和未保险费用数据估计了进一步处理偶然发现的成本.

主要成果:

在600名患者中,6.7% (40) 的发现需要进一步的随访 (组4).
偶发性瘤发生的频率是导致ASNHL的回耳病理的两倍多.
医疗保险 (Medicare),私人保险 (私人保险) 1,534 美元,无保险 (无保险) 2,260 美元.

结论:

偶发性瘤经常在ASNHLMRI工作期间被发现,超过已识别的回内病理的速度.
虽然很少有患者需要治疗偶发性瘤,但它们的社会经济影响是相当大的.
医疗保健支付者和患者应考虑ASNHL诊断途径中偶发性瘤的经济负担.

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