甲手腕骨折的放射性随访:必要性,成本和环境影响
Marit van Barreveld1,2, Florine I de Haes1,2, Bas Twigt3
1Department of Epidemiology and Data Science, Amsterdam UMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Skeletal radiology
|December 1, 2025
概括
对于甲手腕骨折的常规后续成像提供了最小的临床益处. 以症状为导向的方法可以优化患者护理,并减少与不必要的放射性评估相关的财务和环境成本.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是指放射学
- 卫生经济学 卫生经济学
背景情况:
- 甲手腕骨折是常见的手部损伤.
- 目前的管理通常包括例行放射学后续检查.
- 这种常规成像的临床价值和影响尚未得到充分证实.
研究的目的:
- 评估甲手腕骨折患者随访成像的频率和临床影响.
- 量化例行后续成像的财务和环境成本.
- 为了比较手术与非手术治疗策略的结果.
主要方法:
- 对成年患有甲手腕骨折的患者进行了回顾性研究 (2017-2022).
- 审查放射学报告和医疗记录,以确定成像后的治疗修改.
- 计算与成像和干预相关的财务和环境影响 (CO2-eq).
主要成果:
- 1.1%的非手术治疗患者需要手术;成本为230,000欧元,其中有2711公斤CO2eq.
- 0.3%的手术治疗患者需要重新进行手术后成像;成本为171,000欧元,其中1801公斤CO2-eq.
- 常规的后续成像产生了最小的临床益处和显著的财务/环境负担.
结论:
- 对于甲手腕骨折的常规放射性随访提供了有限的临床价值.
- 建议采用以症状为导向的方法来优化患者护理.
- 减少不必要的成像可以显著降低财务和环境影响.
关键词:
图像扫描 (CT) 扫描是一种扫描.气候变化 气候变化 气候变化费用 费用 费用 费用 费用环境影响环境影响环境影响卫生政策 卫生政策在 LCA LCA LCA 中.甲手腕骨折是指甲手腕骨折的发生.放射图片 放射图片 放射图片放射性成像 放射性成像 放射性成像更多相关视频
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