MRI Before Radiography for Patients With New Shoulder Conditions
| Autor: | Kirstin M. Small, Stephen D. Daniels, Frank J. Rybicki, Lindsay R. Miller, Laurence D. Higgins |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Shoulder Radiography Primary care 030204 cardiovascular system & hematology Appropriate Use Criteria 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Sex Factors Patient age Shoulder pathology medicine Electronic Health Records Humans Radiology Nuclear Medicine and imaging Arthrography Referral and Consultation medicine.diagnostic_test business.industry Racial Groups Electronic medical record Age Factors Magnetic resonance imaging Magnetic Resonance Imaging Orthopedics Orthopedic surgery Female Radiology business |
| Zdroj: | Journal of the American College of Radiology : JACR. 14(6) |
| ISSN: | 1558-349X |
| Popis: | Purpose To assess the patterns of Appropriate Criteria application among orthopedic specialists and other fields of medicine for use of MRI and radiography and the subsequent necessity for surgical intervention. Methods The hospital electronic medical record was used to identify all shoulder MRI studies at a single large urban teaching hospital between January 2, 2011, and June 30, 2011. For each study, variables collected included ordering department, patient age, patient gender, patient's self-reported race/ethnicity, whether the patient obtained surgery for an issue related to the MRI diagnosis, the type of MRI ordered, the date of pain onset, the date of x-ray (if any), and the date of the MRI. Results A total of 475 patients who underwent shoulder MRI were included in our study. We found significant associations between a patient having had a prior x-ray and ordering department ( P P = .0005), and subjects who had subsequent surgery ( P = .0006). Neither age nor race and ethnicity had an influence on x-ray before MRI. Orthopedic specialists ordering MRIs had the highest percentage of patients undergo subsequent surgery (33.3%) compared with the second-most, primary care (18.4%), and all other ordering departments ( P = .0009). Conclusions Detailed analysis suggests that providers who do not have specific training in shoulder pathology should consider consultation with an orthopedic surgeon before ordering shoulder MRI for patients who may need additional imaging after radiography. |
| Databáze: | OpenAIRE |
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