Re: New Pap Screening Technology
From: Myer S. Bornstein (mborn@massmed.org)
Fri Oct 31 05:45:28 1997
-----Original Message-----
From: jay kulkin <jkulkin@mindspring.com>
To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
Date: Thursday, October 30, 1997 4:26 PM
Subject: Re: New Pap Screening Technology
>I think the technology is great, but the price isn't. Far less false
>negatives and what's wrong with that. Then again, Wall street is driving
>this one.
>Tune in when managed care really gets a hold on this one.
>
>Jay
>
>Jay MAnaged Care in my area is paying
see you tommorrow
Myer
>
>At 08:51 PM 10/29/97 -0600, you wrote:
>>In patients at low risk for dysplasia, I really do not think that the
>>new tests (Papnet/ThinPrep) are cost efficient. Thankfully, the process
>>for which we are screening, dysplasia, is a slowly progressing one. Of
>>the 2, I prefer the ThinPrep because it produces a "better" smear for
>>interpretation.
>>
>>In our practice, we have a homemade handout that explains the 2
>>technologies, and explains that it will cost you $50 to $60 out of
>>pocket, cash money to the lab, and you can try to deal with your
>>insurance carrier (we won't get involved; we have enough aggrevation
>>already). Our group does the ThinPrep in those who want it, about 5 to
>>10%. When patients ask, if they are low risk, I tell them that I think
>>it is unneccesay, but that it is up to them, and their money.
>>
>>This approach has been necessitated by the market demand, as a fair
>>number of people are asking about Papnet especially, in response to
>>their advertising.
>>
>>At Wed, 29 Oct 1997, Walter Evans MD wrote:
>>>
>>>I would like to solicit the group's thoughts on new Pap
>>> technologies. I have been slow to jump aboard Thinprep
>>> and the computer screens due to cost/benefit concerns.
>>>There appear to be fewer false positives and false negatives.
>>>However, the cost of $40 compared to $8 is quite a spread.
>>>Any thoughts?
>>>
>>>--
>>>Walter F. Evans II MD
>>>Dallas, TX
>>>Texas Rep OBGYN.net
>>>wfevans@worldnet.att.net
>>>
>>
>>--
>>Garry E. Siegel, M.D., FACOG
>>Private Practice
>>Roswell, Ga.
>>
>
