Musculoskeletal Imaging: Medicare Use, Costs, and Potential for Cost Substitution

Parker, Laurence; Nazarian, Levon N.; Carrino, John A.; Morrison, William B.; Grimaldi, Gregory; Frangos, Andrea J.; Levin, David C.; Rao, Vijay M.

doi:10.1016/j.jacr.2007.07.016

Cited by 163 publications

(92 citation statements)

References 14 publications

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“…Parker, et al estimated that, in the Medicare population, the substitution of MSK US for MSK MRI, when appropriate, would lead to savings of more than $6.9 billion in the period from 2006 to 2020 [6].…”

Section: Msk Usmentioning

confidence: 99%

Dramatically Increased Musculoskeletal Ultrasound Utilization From 2000 to 2009, Especially by Podiatrists in Private Offices

Sharpe¹,

Nazarian²,

Parker³

et al. 2012

Journal of the American College of Radiology

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Section: Msk Usmentioning

confidence: 99%

Dramatically Increased Musculoskeletal Ultrasound Utilization From 2000 to 2009, Especially by Podiatrists in Private Offices

Sharpe¹,

Nazarian²,

Parker³

et al. 2012

Journal of the American College of Radiology

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“…MSUS performed by the physician also provides an excellent opportunity for patient education and to explain the rationale for treatments [7][8] . A study has also shown that the substitution of MSUS for magnetic resonance imaging of musculoskeletal disorders, when appropriate, would lead to large cost-savings for medicare 9 . Such advantages make MSUS best economically to provide the information needed, which in turn allows the formulation of an appropriate management or intervention plan within one session.…”

Section: Discussionmentioning

confidence: 99%

Current state of the use of musculoskeletal ultrasound (MSUS) and view on the future development of MSUS training and services in Hong Kong: Results of a survey among the members of the Hong Kong Society of Rheumatology

Wong

Kwan

2016

Hong Kong Bulletin on Rheumatic Diseases

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could only do less than 10 scans per week. Lack of time and manpower, lack of expertise, high cost of equipment, and lack of support for training were important obstacles in developing the MSUS service. 18 (64%) responders in our survey tended to agree that MSUS training should be incorporated in the rheumatology training. Conclusions: In conclusion, this is the first survey demonstrating the current state of the use of MSUS in Hong Kong and a huge growth in demand for the service development and formal training in MSUS. A number of challenges in terms of lack of time and manpower, lack of expertise, high cost of equipment, and lack of support for training is evident.Keywords: Rheumatology, musculoskeletal, ultrasound, survey IntroductionMusculoskeletal ultrasound (MSUS) is widely used in rheumatology and recognized as a useful tool in patient management in last two decades. The clinical application of MSUS requires expertise, manpower in terms of doctor time, good quality ultrasound machines, and implementation planning. There are limited data on the present impact of MSUS on rheumatology in Asian countries. The Hong Hong Society of Rheumatology conducted a survey on MSUS in public hospitals and private sector from March to May, 2015. The purpose of this survey was to establish the current state of the use of MSUS and the members' view on the future development Methods: A three-page anonymous questionnaire, divided into three sections (demographics, current state of the MSUS service, and view on future development of MSUS training and services), was sent (either in electronic format or in hardcopy) to 79 members (70 full members and 9 ordinary members) of the Hong Kong Society of Rheumatology. The aim is to inquire about the use of MSUS by rheumatologists, their views on the future development of MSUS training and service in Hong Kong. Results: 28 (35%) out of 79 members responded to the questionnaire (including 25 fellows and 3 trainees working in public hospitals and private sector). 25 responders (89.3%; 25/28) were using MSUS in their daily practice for making diagnoses, guiding interventions or follow-up disease. Although 90% (25/28) of the responders' institutes provided the MSUS service by the Radiology Department, 70% of them got long waiting time, and the Radiology Department did not provide the MSUS service to every joint region. Despite the widespread use of MSUS among rheumatologists, more than 90% of the responders EditorialOpen Access

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“…This decision was based on the nearly equivalent accuracy of US and MR imaging for full-and partial-thickness tears (12) combined with the fact that US has a lower cost (38), greater patient acceptance (29), and no contraindications. The panel also agreed that US can provide information concerning fatty degeneration and atrophy of the rotator cuff musculature (6,26,27).…”

Section: Special Report: Imaging Algorithms For Evaluating Suspected mentioning

confidence: 99%

Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement

et al. 2013

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Musculoskeletal Imaging: Medicare Use, Costs, and Potential for Cost Substitution

Cited by 163 publications

References 14 publications

Dramatically Increased Musculoskeletal Ultrasound Utilization From 2000 to 2009, Especially by Podiatrists in Private Offices

Dramatically Increased Musculoskeletal Ultrasound Utilization From 2000 to 2009, Especially by Podiatrists in Private Offices

Current state of the use of musculoskeletal ultrasound (MSUS) and view on the future development of MSUS training and services in Hong Kong: Results of a survey among the members of the Hong Kong Society of Rheumatology

Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement

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