Magnitude and financial implications of inappropriate diagnostic imaging for three common clinical conditions.
Int J Qual Health Care
; 31(9): 691-697, 2019 Nov 30.
Article
en En
| MEDLINE
| ID: mdl-30689863
ABSTRACT
OBJECTIVE:
To quantify the level of adherence to imaging guidelines for three common clinical indications for a commercially insured population.DESIGN:
Retrospective analysis of administrative claims data for commercially insured individuals with diagnostic imaging claims (MRI and X-ray) for either uncomplicated low back pain, non-traumatic knee pain or non-traumatic shoulder pain.SETTING:
The State of Massachusetts for 2010 and 2013.PARTICIPANTS:
Adults with no chronic conditions and without evidence of prior management in the 12 months preceding to the initial office visit for each of the clinical indications. MAIN OUTCOMESMEASURES:
Imaging procedures performed within 30 days of the initial office visit were classified as appropriate or inappropriate according to adherence to imaging guidelines from American College of Radiology.RESULTS:
More than 60% of lumbar spine MRI's were deemed inappropriate in 2010 and in 2013. Over 30% of MRI's for shoulder pain and knee pain were inappropriate in 2010 and in 2013. Patients age 18-59 with inappropriate imaging claims had significantly lower rates of surgical procedures within 90 days of imaging than those with appropriate imaging. Inappropriate imaging accounted for over 20% of annual imaging costs for the three clinical indications.CONCLUSIONS:
Reducing inappropriate imaging procedures can lead to substantial savings through the elimination of unnecessary and low value procedures. Increased awareness of and adherence to best practice guidelines should be a focus of efforts to cut waste in our healthcare system.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor de la Región Lumbar
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Procedimientos Innecesarios
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Dolor de Hombro
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Articulación de la Rodilla
Tipo de estudio:
Diagnostic_studies
/
Guideline
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Health_economic_evaluation
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Observational_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como asunto:
America do norte
Idioma:
En
Año:
2019
Tipo del documento:
Article