影响成像临床决策的因素在腰部疼痛管理. 一个范围审查审查
Luke Tanner1, Nicola L Saywell2,3, Thomas Adams2,4
1Clinical Physiotherapist, Auckland, New Zealand.
Musculoskeletal care
|June 11, 2024
概括
对于腰部疼痛 (LBP) 的诊断成像经常被滥用. 影响临床决策 (CDM) 的因素包括临床特征,患者特征和临床医生的信念,而不仅仅是病史.
科学领域:
- 医疗成像医学成像
- 临床决策 - 临床决策
- 腰部疼痛管理 腰部疼痛管理
背景情况:
- 在腰部疼痛 (LBP) 管理中,不适当的诊断成像使用是常见的,这与临床指南相反.
- 对于影响图像临床决策 (CDM) 在LBP中的因素的理解有限.
研究的目的:
- 探索有关影响LBP成像CDM的因素的文献.
- 确定减少LBP不适当成像使用的策略.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在2010-2023年期间搜索了Medline,CINAHL,Scopus和Cochrane.
- 诱导性分析对影响因素进行了分类.
主要成果:
- 35项研究 (5项定性,30项定量) 确定了影响成像CDM的因素.
- 这些因素分为临床特征,不可修改的和可修改的类别.
- 报告中最常见的是不可修改的因素.
结论:
- 在LBP中成像CDM是复杂的,涉及的不仅仅是临床发现.
- 临床特征,患者/临床医师因素,信仰和环境的相互作用至关重要.
- 调查结果为策略提供信息,以减轻不适当的成像实践.
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