title: Cost-effectiveness of ultrasound use by on-call registrars in an acute gynaecology setting.
abstract: Ultrasound, and in particular transvaginal sonography (TVS), plays an important role in the management of women with acute gynaecology conditions. This study compared the cost-effectiveness of two models of out-of-hours care for women in an acute gynaecology setting. In the ultrasound-based model, the on-call registrar with ultrasound experience managed such patients after performing pelvic ultrasound as a part of the initial assessment. On the other hand, in the traditional model of care the on-call registrar managed the patients without the use of ultrasound. The conclusion is that the use of ultrasound by the on-call registrars has significant cost implications through reduced hospital admissions. It leads to improved outcomes of such patients through timely diagnosis and treatment.
authors.affiliation: Darent Valley Hospital, Dartford, UK. mohsen.el-sayed@dvh.nhs.uk
authors.forename: M M
authors.initials: MM
authors.lastname: El-Sayed
authors.forename: S A
authors.initials: SA
authors.lastname: Mohamed
authors.forename: M H
authors.initials: MH
authors.lastname: Jones
mesh_terms: D000208:Acute Disease; D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D005831:Genital Diseases, Female / Q000000981:diagnostic imaging* / Q000191:economics*; D006176:Gynecology / Q000191:economics*; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006801:Humans; D009551:Night Care / Q000191:economics*; D010343:Patient Admission / Q000191:economics; D011247:Pregnancy; D011446:Prospective Studies; D014463:Ultrasonography / Q000191:economics*