Integrating Epidemiological Information into MRI Reports Reduces Ensuing Radiologic Testing Costs Among Patients with Low Back Pain: A Controlled Study

Published:April 27, 2020DOI:https://doi.org/10.1016/j.jcjq.2020.03.010
      In the United States, spine pain treatment is expensive and increasingly uses guideline discordant evaluation and treatment modalities, including magnetic resonance imaging (MRI),
      • Mafi JN
      • et al.
      Worsening trends in the management and treatment of back pain.
      up to 60% of which are considered inappropriate.
      • Flaherty S
      • et al.
      Magnitude and financial implications of inappropriate diagnostic imaging for three common clinical conditions.
      Inappropriate lumbar MRIs are associated with a short-term cascade of related care costs,
      • Webster BS
      • et al.
      The cascade of medical services and associated longitudinal costs due to nonadherent magnetic resonance imaging for low back pain.
      potentially causing patient harm.
      • Wnuk NM
      • Alkasab TK
      • Rosenthal DI
      Magnetic resonance imaging of the lumbar spine: determining clinical impact and potential harm from overuse.
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