Search Results

You are looking at 1 - 10 of 768 items for :

  • "cost-effectiveness" x
Clear All
Restricted access

Eli Ginzberg

in the future. Clearly the American people must decide via the market and the legislature how much money it is willing to invest in neurosurgery as in other frontier activities, but that is a decision they should be encouraged to make in a broader context than cost effectiveness. Harvey Cushing had a vision that neurosurgery could contribute significantly to human betterment and devoted his life to that end. The real challenge that you face is to live in accordance with that vision, to inspire young physicians to join you, and to convince the American people to

Restricted access

Avigdor Zelikovski, Gidon Zucker, Avinoam Eliashiv, Raphael Reiss and Mordechai Shalit

– 128 , 1980 Partsch H, Mostbeck A, Leitner G: Experimentelle Untersuchungen Zur wirkung einer Druckwellenmassage (Lymphapress) beim Lymphödem. Phlebol Proktol 9: 124–128, 1980 12. Salzman EW , Davies GC : Prophylaxis of venous thromboembolism. Analysis of cost effectiveness. Ann Surg 191 : 207 – 218 , 1980 Salzman EW, Davies GC: Prophylaxis of venous thromboembolism. Analysis of cost effectiveness. Ann Surg 191: 207–218, 1980 13. Zelikovski A , Manoach M , Giler SH , et al : Lympha

Restricted access

Martin P. Berry, R. Derek T. Jenkin, Colin W. Keen, Bhavani D. Nair and W. John Simpson

on the cost-effectiveness of radiation dose. 2, 3, 7, 16 Recently, the introduction of screening myelograms has made it clear that an appreciable fraction of patients with medulloblastoma have gross occult spinal metastases at diagnosis. An incidence as high as 43% (seven of 16 patients) has been described in Pittsburgh. 10 Optimal craniospinal radiation dose may well be dependent on the presence of gross metastases. Summary of Cases Patient Population One hundred and forty-three consecutive patients with a diagnosis of medulloblastoma or cerebellar

Restricted access

Takashi Okabe, John S. Meyer, Hiroyuki Okayasu, Richard Harper, James Rose, Robert G. Grossman, Ricardo Centeno, Hisao Tachibana and Ya Yen Lee

from scalp flow, and because of Compton scatter and tissue absorption. 22, 25 Another problem is tissue overlap, so that low or zero flow values tend to be overlooked and high flows (such as occur in AVM's) tend to be overestimated. Advantages of the method are its safety, simplicity, and cost effectiveness. The CT-CBF method combines the x-ray contrast properties of stable (non-radioactive) xenon gas with the excellent resolving powers of the CT scanner. Because xenon gas has a high atomic number similar to iodine, it absorbs x-rays and is an excellent contrast

Restricted access

Karl W. Swann and Peter McL. Black

J Surg 57 : 296 – 299 , 1970 Rosengarten DS, Laird J, Jeyasingh K, et al: The failure of compression stockings (Tubigrip) to prevent deep venous thrombosis after operation. Br J Surg 57: 296–299, 1970 64. Salzman EW , Davies GC : Prophylaxis of venous thromboembolism. Analysis of cost effectiveness. Ann Surg 191 : 207 – 218 , 1980 Salzman EW, Davies GC: Prophylaxis of venous thromboembolism. Analysis of cost effectiveness. Ann Surg 191: 207–218, 1980 65. Sartwell PE , Masi AT

Restricted access

formerly have died or been severely disabled. Of equal importance in this time of constrained resources is the cost-effectiveness of organ transplantation, whether kidney, heart, heart-lung, liver, or pancreas. Organ transplantation is more cost-effective than the conventional alternative therapies that attempt to maintain life and that in most instances result in repeated hospitalization with long stays until the patient dies. In the case of kidney transplantation, for example, the cost in the 1st year is approximately $25,000 to $40,000. This figure decreases

Restricted access

with sciatica. Results of a randomized, double-blind study. JAMA 249: 2489–2494, 1983 6. McDermott DJ , Agre K , Brim M , et al : Chymodiactin in patients with herniated lumbar intervertebral discs. Spine 10 : 242 – 249 , 1985 McDermott DJ, Agre K, Brim M, et al: Chymodiactin in patients with herniated lumbar intervertebral discs. Spine 10: 242–249, 1985 7. Ramirez LF , Javid MJ : Cost effectiveness of chemonucleolysis vs laminectomy in the treatment of herniated nucleus pulposus

Restricted access

Christopher B. Shields, Steven J. Reiss and Henry D. Garretson

. Parkinson D , Shields C : Treatment of protruded lumbar intervertebral discs with chymopapain (Disease). J Neurosurg 39 : 203 – 208 , 1973 Parkinson D, Shields C: Treatment of protruded lumbar intervertebral discs with chymopapain (Disease). J Neurosurg 39: 203–208, 1973 25. Ramirez LF , Javid MJ : Cost effectiveness of chemonucleolysis versus laminectomy in the treatment of herniated nucleus pulposus. Spine 10 : 363 – 367 , 1985 Ramirez LF, Javid MJ: Cost effectiveness of chemonucleolysis versus

Restricted access

Theodore Cooper

about the cost effectiveness of screening techniques, diagnostic methods, and treatments are now in vogue, even in the medical literature. Employment opportunities are expanding for managers of care. In fact, I have heard it said that new concepts of managed care appear to be the country's only hope of controlling our chaotic health care system. And one does not have to look too long for references to what is, in the minds of some people, the cause of the loss of control. As an aside, it is not unusual to hear that “doctors are out of control.” It is not refreshing to

Restricted access

J. Stuart Crutchfield, Raj K. Narayan, Claudia S. Robertson and Lloyd H. Michael

levels. 8, 9, 12, 15, 30 Nevertheless, debate continues regarding the risk-benefit ratio and cost-effectiveness of this technique. 27 Several pressure-monitoring devices have been developed for use in ICP measurement. 1 These devices include epidural and subdural sensors, subarachnoid screws and bolts, and a variety of intraventricular catheters. 3, 6, 7, 10, 18, 19, 23 A relatively new development has been that of the fiberoptic device. This device uses a monitor that senses changes in the amount of light reflected off a pressure-sensitive diaphragm located at