不适当的手腕MRI:指南有没有影响?
Trista M Benítez, Meghan N Cichocki, Weijia Jin
1Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, 2130 Taubman Center, SPC 5340, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5340.
The American journal of managed care
|March 8, 2024
概括
许多手腕MRI是不合适的和昂贵的. 在指南发布后,不适当的MRI使用每月减少,但需要进一步干预,以改善遵守和减少医疗保健费用.
科学领域:
- 放射学和健康经济学
- 医学成像的适当性 医学成像的适当性
- 临床指南 影响评估 临床指南
背景情况:
- 磁共振成像 (MRI) 经常用于手腕疼痛诊断.
- 评估MRI的适当性和相关成本对于医疗保健资源管理至关重要.
研究的目的:
- 评估不适当的手腕MRI的全国流行和财务负担.
- 确定美国放射学学院 (ACR) 准则对MRI适当性的影响.
主要方法:
- 对患有手腕疼痛的成年患者 (2016-2019) 的行政索赔数据 (IBM MarketScan) 的分析.
- 根据ACR指南评估MRI的适当性.
- 计算不合适的MRI的总和自付费用.
- 间断时间序列分析,以评估指南发布的影响.
主要成果:
- 分析了867,119名患者的队列,其中4.6%接受了手腕MRI.
- 超过一半 (52.6%) 的手腕核磁共振成像被认为是不合适的,总支付费用超过4400万美元.
- 在指南发布后,不适当的MRI几率每月下降1%.
结论:
- 不适当的手腕MRI利用是普遍和昂贵的.
- 已发表的指导方针显示,对减少不适当的成像产生积极但不足的影响.
- 建议采取临床决策支持工具等干预措施,以加强对指南的遵守.
相关概念视频
Imaging Studies I: CT and MRI
242
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
242
Magnetic Resonance Imaging
5.1K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.1K
Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
Radiological Investigation I: X-ray and CT
237
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
237


