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Developing an Appropriateness Criteria for Knee MRI Using the Rand Appropriateness Method (RAM)-2013

Hossein Ebrahimipour1, Seyedeh Zahra Mirfeizi1, Ali Vafaee Najar1

  • 1Hossein Ebrahimipour MD, Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

The Archives of Bone and Joint Surgery
|September 11, 2014
PubMed
Abstract

Insights

Developing appropriate Magnetic Resonance Imaging (MRI) guidelines for knee pain is crucial. This study used the RAND Appropriateness Method (RAM) to evaluate clinical guidelines, aiming to improve patient care and reduce costs.

Area of Science:

  • Radiology
  • Orthopedics
  • Rheumatology

Background:

  • Knee pain is a common patient complaint necessitating diagnostic imaging.
  • Magnetic Resonance Imaging (MRI) is the preferred diagnostic tool for knee conditions.
  • Establishing clear guidelines for knee MRI administration is essential for effective diagnosis.

Purpose of the Study:

  • To determine appropriate guidelines for knee MRI administration.
  • To utilize the RAND Appropriateness Method (RAM) for guideline evaluation.
  • To enhance the quality of care and cost-effectiveness in knee pain management.

Main Methods:

  • A qualitative study conducted at Mashhad University of Medical Sciences in 2013.
  • Evaluation of clinical guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument.
  • Expert panel review (6 orthopedic, 3 rheumatologic doctors) scoring indications from 1-9.
  • Data analysis using descriptive statistics with SPSS version 18.

Main Results:

  • Sixty-three scenarios were extracted and evaluated across 26 indications.
  • Appropriate indications accounted for 32 (50.79%) cases.
  • Uncertain and inappropriate indications comprised 12 (19.04%) and 19 (30.1%) cases, respectively.

Conclusions:

  • The RAND Appropriateness Method (RAM) effectively captures stakeholder opinions in healthcare.
  • Implementing practical clinical guidelines can significantly improve patient care quality.
  • Adherence to established guidelines can prevent unnecessary healthcare expenditures.
Keywords:
GuidelineKnee jointMRIRAND Appropriateness Method

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