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COST-EFFECTIVENESS OF MAGNETIC RESONANCE IMAGING AND ENTEROCLYSIS IN THE DIAGNOSTIC IMAGING OF CROHN'S DISEASE

Published online by Cambridge University Press:  19 December 2002

Margrit Ebinger ,
Andrea Rieber  and
Reiner Leidl
Margrit Ebinger
Affiliation:
University of Ulm
Andrea Rieber
Affiliation:
University of Ulm
Reiner Leidl
Affiliation:
University of Ulm
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Abstract

Objectives: To compare the cost-effectiveness of magnetic resonance imaging (MRI) and enteroclysis in patients with Crohn's disease (CD).

Methods: A decision analytic model was performed considering the correct diagnoses of CD and complications such as fistulas and abscesses as effects. Costs were estimated in Euro () using German fee schedules.

Results: MRI was more effective and more costly compared with enteroclysis. Incremental cost-effectiveness of MRI versus enteroclysis was 1,595 per additional correctly diagnosed patient.

Conclusions: The use of MRI in the work-up of patients with CD cannot be generally recommended from an economical perspective, but results of sensitivity analysis suggest that in patients with high prevalence of complications, MRI becomes as cost-effective as enteroclysis, which is accepted standard diagnostic imaging.

Keywords

Cost-effectiveness analysisCrohn's diseaseMagnetic resonance imagingEnteroclysis
Type
RESEARCH NOTES
Information
International Journal of Technology Assessment in Health Care , Volume 18 , Issue 3 , 22 2002 , pp. 711 - 717
Copyright
© 2002 Cambridge University Press

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