Variations in Preoperative Use of Bone Scan Among Medicare Beneficiaries Undergoing Radical Cystectomy.

ABSTRACT:

Objective

To examine factors associated with bone scan use in patients undergoing radical cystectomy and to assess trends in use over time.

Materials and methods

Using Surveillance, Epidemiology, and End Results-Medicare data, we identified 5573 patients who underwent radical cystectomy from 2004 to 2011. The primary outcome was completion of a bone scan within 6 months prior to surgery. Demographic, regional, and clinicopathologic predictors of bone scan use were examined using a mixed logit model with health service area as a random effect.

Results

Among radical cystectomy patients, 1754 (31%) completed a preoperative bone scan. Urologists ordered most of these studies (69%). The adjusted probability of a patient undergoing a bone scan decreased from 0.40 in 2004 to

SUBMITTER: Turner RM 

PROVIDER: S-EPMC5710731 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature