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Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital

BACKGROUND: The Bosniak classification is a CT classification which stratifies renal cysts based on imaging appearances and therefore associated risk of malignancy. Bosniak IIf cysts are renal which have complex features and therefore require surveillance. AIMS: The aim of this study is to assess th...

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Autores principales: Cullivan, Orla, Wong, Ruby, Albu, Cristian, D’Arcy, Frank, O’Malley, Eoin, McCarthy, Peter, Dowling, Catherine M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761533/
https://www.ncbi.nlm.nih.gov/pubmed/35037159
http://dx.doi.org/10.1007/s11845-022-02919-w
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author Cullivan, Orla
Wong, Ruby
Albu, Cristian
D’Arcy, Frank
O’Malley, Eoin
McCarthy, Peter
Dowling, Catherine M.
author_facet Cullivan, Orla
Wong, Ruby
Albu, Cristian
D’Arcy, Frank
O’Malley, Eoin
McCarthy, Peter
Dowling, Catherine M.
author_sort Cullivan, Orla
collection PubMed
description BACKGROUND: The Bosniak classification is a CT classification which stratifies renal cysts based on imaging appearances and therefore associated risk of malignancy. Bosniak IIf cysts are renal which have complex features and therefore require surveillance. AIMS: The aim of this study is to assess the economic and workload burden of diagnosing and following up Bosniak IIf cysts on the urology service in a tertiary hospital in the West of Ireland. METHODS: All patients with a diagnosis of Bosniak IIf renal cysts attending our urology service between 1st of January 2012 and 31st December 2020 were analysed. The following data were collected: number and modality of follow up scans, number of MDT discussions, number and type of outpatient appointments, surgical intervention, and length of follow up. Financial data were provided by the hospital finance department. RESULTS: One hundred and sixty-two patients were included. Total cost of follow up was €164,056, costing €1,012.7 per patient. Cost of outpatient visits was €77,850. Follow-up length ranged from 1 to 109 months, median follow up time 17.5 months. Overall cost of imaging was €74,518. There were a total of 80 MDT discussions at an overall cost of €11,688. CONCLUSIONS: This study demonstrates that surveillance of patients with Bosniak IIf renal cysts represents a significant burden upon both radiology and urology services. Surveillance for these patients could be streamlined in the future through a number of initiatives such as virtual OPDs and dedicated MDTs.
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spelling pubmed-87615332022-01-18 Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital Cullivan, Orla Wong, Ruby Albu, Cristian D’Arcy, Frank O’Malley, Eoin McCarthy, Peter Dowling, Catherine M. Ir J Med Sci Original Article BACKGROUND: The Bosniak classification is a CT classification which stratifies renal cysts based on imaging appearances and therefore associated risk of malignancy. Bosniak IIf cysts are renal which have complex features and therefore require surveillance. AIMS: The aim of this study is to assess the economic and workload burden of diagnosing and following up Bosniak IIf cysts on the urology service in a tertiary hospital in the West of Ireland. METHODS: All patients with a diagnosis of Bosniak IIf renal cysts attending our urology service between 1st of January 2012 and 31st December 2020 were analysed. The following data were collected: number and modality of follow up scans, number of MDT discussions, number and type of outpatient appointments, surgical intervention, and length of follow up. Financial data were provided by the hospital finance department. RESULTS: One hundred and sixty-two patients were included. Total cost of follow up was €164,056, costing €1,012.7 per patient. Cost of outpatient visits was €77,850. Follow-up length ranged from 1 to 109 months, median follow up time 17.5 months. Overall cost of imaging was €74,518. There were a total of 80 MDT discussions at an overall cost of €11,688. CONCLUSIONS: This study demonstrates that surveillance of patients with Bosniak IIf renal cysts represents a significant burden upon both radiology and urology services. Surveillance for these patients could be streamlined in the future through a number of initiatives such as virtual OPDs and dedicated MDTs. Springer International Publishing 2022-01-17 2022 /pmc/articles/PMC8761533/ /pubmed/35037159 http://dx.doi.org/10.1007/s11845-022-02919-w Text en © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Cullivan, Orla
Wong, Ruby
Albu, Cristian
D’Arcy, Frank
O’Malley, Eoin
McCarthy, Peter
Dowling, Catherine M.
Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title_full Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title_fullStr Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title_full_unstemmed Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title_short Assessment of the workload and financial burden of Bosniak IIF renal cyst surveillance in a tertiary referral hospital
title_sort assessment of the workload and financial burden of bosniak iif renal cyst surveillance in a tertiary referral hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761533/
https://www.ncbi.nlm.nih.gov/pubmed/35037159
http://dx.doi.org/10.1007/s11845-022-02919-w
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