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COST-EFFECTIVENESS OF MAGNETIC RESONANCE IMAGING AND ENTEROCLYSIS IN THE DIAGNOSTIC IMAGING OF CROHN'S DISEASE
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- Journal:
- International Journal of Technology Assessment in Health Care / Volume 18 / Issue 3 / 22 2002
- Published online by Cambridge University Press:
- 19 December 2002, pp. 711-717
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- Article
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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
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.
