Erschienen in:
01.04.2020 | Capsule Commentary
Capsule Commentary on Nevedal et al. “Factors Influencing Primary Care Providers’ Unneeded Lumbar Spine MRI Orders for Acute, Uncomplicated Low-Back Pain: a Qualitative Study Use of Patient Decision”
verfasst von:
Amir Mohammad Mohammad, MD, MPH, FACPM, FACOEM
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 4/2020
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Excerpt
In this qualitative study focusing on VA Primary Care Providers (PCPs), the authors highlight an expensive, recurring, and potentially harmful clinical practice. They interviewed PCPs and analyzed factors linked with increased ordering of lumbosacral (LS) MRI when evaluating low back pain among Veterans. They interviewed 55 high and low concordant back pain guideline PCPs, the majority based at satellite clinics, and found that while there were similar patient factors, there were significantly different provider level factors (guideline familiarity and agreement, the extent to which they acquiesced to patients, and belief in the value of LS MRI).
1 This study serves as a reminder that many factors contribute to decision-making and must be considered to avoid unnecessary and expensive imaging. …