肌肉骨成像的时间和地理变化:挪威的一项基于登记的研究,重点是潜在的低价值成像
Ingrid Øfsti Brandsæter1, Jan Porthun2, Eivind Richter Andersen2
1Department of Health Sciences Gjøvik at The Norwegian University of Science and Technology (NTNU), NTNU Gjøvik, PB 191, Gjøvik, 2802, Norway. ingrid.o.brandsater@ntnu.no.
Research in health services & regions
|November 3, 2025
概括
在挪威,肌肉骨 (MSK) 成像,特别是膝盖和腰部MRI的地理差异很大. 减少低价值的MSK成像可以优化医疗保健资源.
科学领域:
- 放射学和成像学 放射学和成像学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 肌肉骨 (MSK) 疾病导致显著的诊断成像利用.
- 图像成像中的地理差异可能表明使用不足或过度.
- 低值成像提供了最小的或没有患者的好处.
研究的目的:
- 评估挪威 (2013-2022) MSK成像的时间和地理变化.
- 专门分析膝盖MRI和腰部MRI的变化,被确定为潜在的低价值检查.
主要方法:
- 从2013-2022年包括住院和门诊的MSK检查.
- 从挪威卫生经济管理局和选定的医院收集数据.
- 将缺少的住院患者数据和年龄/性别标准化推算到欧洲标准人口.
主要成果:
- 挪威每年进行大约188万次MSK检查.
- 在研究期间,MSK整体成像使用量下降了6.8%.
- 在潜在的低价值的MSK考试中观察到显著的地理差异,一些地区使用的比率是其他地区的两倍多.
结论:
- 在MSK成像使用的时间变化是最小的.
- 在医院信托机构之间,MSK成像利用存在实质性的地理差异.
- 减少低价值的MSK成像可能会将资源重新分配到价值更高的服务.
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