TY  - GEN
N2  -  Pulmonary vein stenosis (PVS) in children is challenging to treat and requires close surveillance to determine disease progression and need for intervention. Despite advances in care for patients with PVS in recent years, evidence-based practices for surveillance have not yet been established. Thus, a lack of consensus in surveillance and variation in surveillance screening practices persists. The standard surveillance at one PVS center is echocardiogram (ECHO) and nuclear medicine pulmonary flow scan (NMPFS). To decrease cost and risk associated with NMPFS, the expert opinion at this PVS center at an academic center explored novel ECHO reading in comparison with NMPFS of 12 pediatric patients retrospectively. This project determined the annual cost savings per year when routine NMPFS was eliminated for pediatric patients (n = 12) with PVS was $51,502.00. There was a significant savings between pediatric patients and their families who traveled more frequently to the PVS center at the academic center (n = 7) to those pediatric patients and their families who traveled only one time per year to the PVS center (n = 5); t (5) = 2.02, p = 0.0002. To decrease healthcare costs and eliminate unnecessary procedures for children with PVS, this quality improvement project provided a cost-savings analysis when NMPFS is eliminated from standard surveillance. 
DO  - 10.6083/ww72bc32z
DO  - DOI
AB  -  Pulmonary vein stenosis (PVS) in children is challenging to treat and requires close surveillance to determine disease progression and need for intervention. Despite advances in care for patients with PVS in recent years, evidence-based practices for surveillance have not yet been established. Thus, a lack of consensus in surveillance and variation in surveillance screening practices persists. The standard surveillance at one PVS center is echocardiogram (ECHO) and nuclear medicine pulmonary flow scan (NMPFS). To decrease cost and risk associated with NMPFS, the expert opinion at this PVS center at an academic center explored novel ECHO reading in comparison with NMPFS of 12 pediatric patients retrospectively. This project determined the annual cost savings per year when routine NMPFS was eliminated for pediatric patients (n = 12) with PVS was $51,502.00. There was a significant savings between pediatric patients and their families who traveled more frequently to the PVS center at the academic center (n = 7) to those pediatric patients and their families who traveled only one time per year to the PVS center (n = 5); t (5) = 2.02, p = 0.0002. To decrease healthcare costs and eliminate unnecessary procedures for children with PVS, this quality improvement project provided a cost-savings analysis when NMPFS is eliminated from standard surveillance. 
AD  - Oregon Health and Science University
T1  - Cost savings when nuclear medicine pulmonary flow scan eliminated from surveillance  in pediatric pulmonary vein stenosis management
DA  - 2023
AU  - LaBarge, Sara K.
L1  - https://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
PB  - Oregon Health and Science University
PY  - 2023
ID  - 10128
L4  - https://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
KW  - Health Care Costs
KW  - Unnecessary Procedures
KW  - Medical Overuse
KW  - Costs and Cost Analysis
KW  - pulmonary vein stenosis
KW  - prevention and control
TI  - Cost savings when nuclear medicine pulmonary flow scan eliminated from surveillance  in pediatric pulmonary vein stenosis management
Y1  - 2023
L2  - https://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
LK  - https://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
UR  - https://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
ER  -