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Cost-Effectiveness of 64-Slice CT Scanner Demonstrated in Emergency Department

By MedImaging International staff writers
Posted on 26 Aug 2008

A recent study sought to determine the cost-effectiveness of utilizing a computed tomography (CT) scanner to evaluate low-risk chest pain patients in the emergency room. The study results demonstrated that using a 64-slice CT scanner is more cost-effective than the current standard of care for evaluating and diagnosing this patient population, which includes an overnight stay in the observation unit and cardiac stress testing.

Chest pain is the most typical emergency department complaint in patients 50 years and older, and has a variety of potential causes. A commonly missed and difficult to diagnose cause of chest pain is coronary artery disease. "When patients arrive at the emergency department with chest pain, my goal as an emergency physician is to identify any life threatening conditions and treat the patient promptly. Currently it is a challenge to identify chest pain patients with significant coronary artery disease in a timely and cost-effective manner,” said Rahul Khare, M.D, an assistant professor of emergency medicine at Northwestern University's Feinberg School of Medicine (Chicago, IL, USA) and director of operations at Northwestern Memorial Hospital.

The 64-slice CT scanner is a comparatively new technology and has shown to be very effective in diagnosing coronary artery disease. "Some have advocated the use of the CT scanner in the emergency department for low-risk chest pain patients as an alternative to stress testing. The CT scanner has the potential to become a first-line screening instrument, but before that happens, we have to evaluate whether or not the cost is associated with better patient outcomes,” commented Dr. Khare.

Dr. Khare utilized a computer model with one standard patient, a 54-year old male, which is reflective of the average age and most prevalent gender of patients in the chest-pain observation unit. The computer model looked at cost-effectiveness within three different risk categories; very low risk, low risk and moderate risk patients. It also evaluated the metric of quality-adjusted life years (QALYs), since failure to detect coronary artery disease can reduce life expectancy for patients.

For each group, the cost of using the CT scanner was lower than the cost of an observation unit stay and stress testing, and furthermore the QALYs, or life expectancies, were higher. This is largely due to the superior diagnostic test performance of the CT scanner, and the avoidance of the observation unit costs.

"There is relatively little data available with respect to the cost-effectiveness of this new technology, the 64-slice CT scanner, in low-risk chest pain patients in an emergency department setting. I'm hoping the results of this study help build the case for conducting a large randomized controlled trial in order to further the body of research,” noted Dr. Khare. "There is good evidence that the use of this technology will be the standard of care in the future, and we must determine if the benefit will outweigh the cost. This study shows that it does, and more importantly, that it may even be cost saving in certain situations. Ultimately, this new technology may be the best care for the patient by quickly telling the patient and the physician if the chest pain is due to a blocked coronary artery.”

The study was published in the July 2008 issue of Academic Emergency Medicine.

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Northwestern University's Feinberg School of Medicine

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64 (138.0443572998): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

65 (658.98895263672): SELECT fid FROM jos_deeppockets WHERE id=294720092 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720092 AND published='1' LIMIT 1

66 (77.009201049805): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

67 (74.148178100586): select jos_twitters.link from jos_twitters where cat=10

68 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

69 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

70 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

71 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE id=294720092 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720092 AND published='1' LIMIT 1

72 (40.054321289062): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

73 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (347.13745117188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (51.975250244141): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

76 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (70.095062255859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (65.088272094727): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (49.829483032227): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

93 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

108 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

109 (91.075897216797): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (106.0962677002): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

112 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

113 (69.141387939453): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (697.13592529297): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (769.13833618164): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

116 (504.97055053711): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (178.09867858887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

118 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

119 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

120 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

122 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

123 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

124 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

125 (417.94776916504): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 29047.012329102): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

127 (648.02169799805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720092 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720092 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 9884.1190338135): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

129 (103.95050048828): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (65.803527832031): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

132 (60.081481933594): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (407.93418884277): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (90.122222900391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

136 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

138 (611.78207397461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (446.08116149902): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=211

141 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=211

142 (740.05126953125): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (726.93824768066): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (544.07119750977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

145 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

146 (!!!!! 5544.900894165): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 2748.0125427246): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (127.07710266113): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720092 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (432.96813964844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (169.03877258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

152 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

153 (!!!!! 1489.8777008057): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

154 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

155 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

156 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720092 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720092 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

158 (28.848648071289): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

159 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

161 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720092 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720092 AND published='1' LIMIT 1

162 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

163 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

164 (33.855438232422): select jos_google_plus.link from jos_google_plus where cat=10

165 (33.140182495117): select jos_linkedin.link from jos_linkedin where cat=10

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