Appropriateness of lumbar spine magnetic resonance imaging in Spain

Kovacs, Francisco M.; Arana, Estanislao; Royuela, Ana; Cabrera, A; Casillas, Carlos; Piñero, Pilar; Vega, M. Pérez de la; Asenjo, Beatriz; Estremera, Ana; Amengual, Guillermo; Sarasíbar, H.; Ferrer, Pilar; Manjarrés, Antonio; Zamarro, Joaquín; Bravo-Rodríguez, Francisco de Asís; Paniagua, Juan Carlos; Mota, Javier; Sánchez-Sagrado, Teresa; Abraira, Víctor; Martı́nez, Carmen Enid

doi:10.1016/j.ejrad.2013.01.017

Cited by 26 publications

(17 citation statements)

References 26 publications

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“…The current study confirmed that walk difficulties and back injury are better indicators for a lumbar MR study, as relative to simple back pain. This is consistent with previous studies that back pain without referred leg pain is a risk factor for inappropriate prescription of lumbar spine MR [ 20 , 21 ]. Opposing to common view, however, increased duration of back pain, leg pain or walk problems was not associated with greater chance of detecting potentially clinically significant findings on MR images.…”

Section: Discussionsupporting

confidence: 93%

“…As an important component of back pain management, the appropriateness of lumbar spine MR utilization has been studied in developed countries using ACR criteria [ 12 ], expert opinion [ 19 ], or other criteria derived from clinical guidelines [ 20 , 21 ]. The reported rates of appropriateness of lumbar MR use ranged considerably from 12% to 56.7%.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Lumbar Spine Magnetic Resonance Imaging in Eastern China: Appropriateness and Related Factors

Wang

Lin

et al. 2016

PLoS ONE

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Back pain is common and costly. While a general scene of back pain related practice in China remains unknown, there are signs of excessive use of lumbar spine magnetic resonance (MR). We retrospectively studied 3107 lumbar spine MRIs in Eastern China to investigate the appropriateness of lumbar spine MR use. Simple back pain is the most common chief complaint for ordering a lumbar MR study. Only 41.3% of lumbar spine MR studies identified some findings that may have potential clinical significance. Normal lumbar spine is the most common diagnosis (32.7%), followed by lumbar disc bulging and lumbar disc herniation. Walk difficulties, back injury and referred leg pain as chief complaints were associated with greater chance of detecting potentially clinically positive lumbar MR image findings, as compare with simple back pain. There was no difference in positive rates among orthopedic surgeon and specialists of other disciplines. Lumbar spine MR imaging was generally overused in Eastern China by various specialists, particularly at health assessment centers. For appropriate use of lumbar spine MR, orthopedic surgeons are no better than physicians of other disciplines. Professional training and clinical guidelines are needed to facilitate evidence-based back pain practice in China.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

The Use of Lumbar Spine Magnetic Resonance Imaging in Eastern China: Appropriateness and Related Factors

Wang

Lin

et al. 2016

PLoS ONE

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show abstract

“…It is helpful in providing information regarding the underlying causes of LBP. 20 It has been found that MRI is the method of choice for evaluation of spinal disease, with sensitivity of 96% and specificity of 92%. It helps radiologists to diagnose the condition before it involves other parts.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Appropriateness of MRI Study in Evaluation of Lumbar Spine in Adult Patients - A Retrospective Study

Rathore¹,

Patel²

2019

IJCMSR

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“…1 A recent study in 12 Spanish public and private hospitals across 6 regions shows that at least 11.9% of the lumbar MRI in routine practice are inappropriate; this proportion increases to 17.2% in private care and to 27.8% among patients without pain referred down to the leg. 4 Differences in results may derive from limitations described in points 1 to 3 and from differences in methods, which in the Spanish study were designed to ensure that all lumbar MRIs classified as "inappropriate" were actually so, at the expense of underestimating its percentage. 4 6.…”

Section: Inappropriate Use Of Lumbar Magnetic Resonance Imaging: Limimentioning

confidence: 99%

“…To reduce the inappropriate use of lumbar MRI, we advocate for implementing electronic clinical decision support tools and empowering radiologists to decline inappropriate lumbar MRI referrals. 4 …”

Section: Inappropriate Use Of Lumbar Magnetic Resonance Imaging: Limimentioning

confidence: 99%

Firearm Legislation and Gun-Related Fatalities

2013

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Appropriateness of lumbar spine magnetic resonance imaging in Spain

Cited by 26 publications

References 26 publications

The Use of Lumbar Spine Magnetic Resonance Imaging in Eastern China: Appropriateness and Related Factors

The Use of Lumbar Spine Magnetic Resonance Imaging in Eastern China: Appropriateness and Related Factors

Assessment of Appropriateness of MRI Study in Evaluation of Lumbar Spine in Adult Patients - A Retrospective Study

Firearm Legislation and Gun-Related Fatalities

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