Staging of renal cell carcinoma: cost-effectiveness of routine preoperative bone scans

Journal Article · Thu Feb 28 23:00:00 EST 1985 · Urology (Ridgewood, N.J.); (United States)

DOI:https://doi.org/10.1016/0090-4295(85)90344-9· OSTI ID:5665677

Campbell, R J; Broaddus, S B; Leadbetter, Jr, G W

The use of bone scans in the evaluation of renal cell carcinoma has become routine in many centers. In a retrospective analysis of 42 patients undergoing radical nephrectomy for renal cell carcinoma, the authors analyzed the cost-effectiveness of routine preoperative bone scans. Although these scans accurately predict metastatic disease to bone, they are not cost-effective as a routine preoperative tool because they do not alter outcome. In selected patients with bone pain and no other positive staging studies, preoperative bone scans may be of value in the decision to perform extirpative surgery.

• Research Organization: Univ. of Vermont College of Medicine, Burlington
• OSTI ID: 5665677
• Journal Information: Urology (Ridgewood, N.J.); (United States), Journal Name: Urology (Ridgewood, N.J.); (United States) Vol. 25:3; ISSN URGYA
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
BODY
CARCINOMAS
COST BENEFIT ANALYSIS
COUNTING TECHNIQUES
DECISION MAKING
DIAGNOSIS
DISEASES
KIDNEYS
MEDICINE
METASTASES
NEOPLASMS
NEPHRECTOMY
ORGANS
PAIN
PATIENTS
RADIOISOTOPE SCANNING
SKELETON
SURGERY
SYMPTOMS