Does early radiography alter remanipulation rates in paediatric forearm fractures?

Rooke, Gareth; Phillips, Fred T. S.

doi:10.1111/ans.12755

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…2,7 Several studies have also suggested simple paediatric forearm fractures that are reduced and cast under fluoroscopy receive no clinical benefit from post-reduction radiographs, saving on both costs and the dose-dependent effects of cumulative radiation exposure. [14][15] In addition to fluoroscopic guidance, a variety of other interventions exist which may improve outcomes in closed reduction of forearm fractures. Ultrasound-guided closed reduction of forearm fractures has also been shown to have similar success rates.…”

Section: Discussionmentioning

confidence: 99%

Paediatric forearm fractures manipulated in the emergency department: incidence and risk factors for re-manipulation under general anaesthesia

Boyle,

Seefried,

Chin-Goh

et al. 2022

NZMJ

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Section: Discussionmentioning

confidence: 99%

Paediatric forearm fractures manipulated in the emergency department: incidence and risk factors for re-manipulation under general anaesthesia

Boyle,

Seefried,

Chin-Goh

et al. 2022

NZMJ

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Do Immediate Postoperative Radiographs Change Patient Management After Fracture Fixation? A Systematic Review

Teo

Schaeffer

Cooper

et al. 2018

Journal of Orthopaedic Trauma

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Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

et al. 2022

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Background Inappropriate and wasteful use of health care resources is a common problem, constituting 10–34% of health services spending in the western world. Even though diagnostic imaging is vital for identifying correct diagnoses and administrating the right treatment, low-value imaging—in which the diagnostic test confers little to no clinical benefit—is common and contributes to inappropriate and wasteful use of health care resources. There is a lack of knowledge on the types and extent of low-value imaging. Accordingly, the objective of this study was to identify, characterize, and quantify the extent of low-value diagnostic imaging examinations for adults and children. Methods A scoping review of the published literature was performed. Medline-Ovid, Embase-Ovid, Scopus, and Cochrane Library were searched for studies published from 2010 to September 2020. The search strategy was built from medical subject headings (Mesh) for Diagnostic imaging/Radiology OR Health service misuse/Medical overuse OR Procedures and Techniques Utilization/Facilities and Services Utilization. Articles in English, German, Dutch, Swedish, Danish, or Norwegian were included. Results A total of 39,986 records were identified and, of these, 370 studies were included in the final synthesis. Eighty-four low-value imaging examinations were identified. Imaging of atraumatic pain, routine imaging in minor head injury, trauma, thrombosis, urolithiasis, after thoracic interventions, fracture follow-up and cancer staging/follow-up were the most frequently identified low-value imaging examinations. The proportion of low-value imaging varied between 2 and 100% inappropriate or unnecessary examinations. Conclusions A comprehensive list of identified low-value radiological examinations for both adults and children are presented. Future research should focus on reasons for low-value imaging utilization and interventions to reduce the use of low-value imaging internationally. Systematic review registration: PROSPERO: CRD42020208072.

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Does early radiography alter remanipulation rates in paediatric forearm fractures?

Abstract: The day 1 post-operative radiograph does not influence management, and cannot be justified given the further cost for hospitals, unnecessary radiation and additional time required.

Cited by 3 publications

References 24 publications

Paediatric forearm fractures manipulated in the emergency department: incidence and risk factors for re-manipulation under general anaesthesia

Paediatric forearm fractures manipulated in the emergency department: incidence and risk factors for re-manipulation under general anaesthesia

Do Immediate Postoperative Radiographs Change Patient Management After Fracture Fixation? A Systematic Review

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

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