Appropriateness of imaging decisions for low back pain presenting to the emergency department: A retrospective chart review study

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorLevel 10 North-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Sydney-
Autor(es): dc.contributorMemorial University-
Autor(es): dc.contributorSouthwest Sydney Local Health District-
Autor(es): dc.creatorTraeger, Adrian C.-
Autor(es): dc.creatorMachado, Gustavo C-
Autor(es): dc.creatorBath, Sally-
Autor(es): dc.creatorTran, Martin-
Autor(es): dc.creatorRoper, Lucinda-
Autor(es): dc.creatorOliveira, Crystian-
Autor(es): dc.creatorPeek, Aimie-
Autor(es): dc.creatorCoombs, Danielle-
Autor(es): dc.creatorHall, Amanda-
Autor(es): dc.creatorTcharkhedian, Elise-
Autor(es): dc.creatorMaher, Chris G.-
Data de aceite: dc.date.accessioned2025-08-21T22:22:20Z-
Data de disponibilização: dc.date.available2025-08-21T22:22:20Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2020-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1093/intqhc/mzab103-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/229322-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/229322-
Descrição: dc.descriptionBackground: Imaging for low back pain is widely regarded as a target for efforts to reduce low-value care. Objective: We aimed to estimate the prevalence of the overuse and underuse of lumbar imaging in patients presenting with low back pain to the emergency department (ED). Methods: This was a retrospective chart review study of five public hospital EDs in Sydney, Australia, in 2019-20. We reviewed the clinical charts of consecutive adult patients who presented with a complaint of low back pain and extracted clinical features relevant to a decision to request lumbar imaging. We estimated the proportion of encounters where a decision to request lumbar imaging was inappropriate (overuse) or where a clinician did not request an appropriate and informative lumbar imaging test when indicated (underuse). Results: Six hundred and forty-nine patients presented with a complaint of low back pain, of which 158 (24.3%) were referred for imaging. Seventy-nine (12.2%) had a combination of features suggesting that lumbar imaging was indicated according to clinical guidelines. The prevalence of overuse and underuse of lumbar imaging was 8.8% (57 of 649 cases, 95% CI 6.8-11.2%) and 4.3% (28 of 649 cases, 95% CI 3.0-6.1%), respectively. Thirteen cases were classified as underuse because the patients were referred for uninformative imaging modalities (e.g. referred for radiography for suspected cauda equina syndrome). Conclusion: In this study of emergency care, there was evidence of not only overuse of lumbar imaging but also underuse through failure to request lumbar imaging when indicated or referral for an uninformative imaging modality. These three issues seem more important targets for quality improvement than solely focusing on overuse.-
Descrição: dc.descriptionFaculty of Medicine and Health Institute for Musculoskeletal Health Sydney School of Public Health University of Sydney Level 10 North, King George V Building, PO Box M179-
Descrição: dc.descriptionPhysical Therapy Department Faculty of Science and Technology Sao Paulo State University Presidente Prudente R. Roberto Símonsen, 305 - Centro Educacional-
Descrição: dc.descriptionFaculty of Medicine and Health Sydney School of Health Sciences University of Sydney, Susan Wakil Building, Western Ave-
Descrição: dc.descriptionFaculty of Medicine Memorial University, 300 Prince Philip Dr-
Descrição: dc.descriptionPhysiotherapy Department Liverpool Hospital Southwest Sydney Local Health District, Liverpool 75 Elizabeth St-
Descrição: dc.descriptionPhysical Therapy Department Faculty of Science and Technology Sao Paulo State University Presidente Prudente R. Roberto Símonsen, 305 - Centro Educacional-
Idioma: dc.languageen-
Relação: dc.relationInternational Journal for Quality in Health Care-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectdiagnostic imaging-
Palavras-chave: dc.subjectlow back pain-
Palavras-chave: dc.subjectmedical overuse-
Palavras-chave: dc.subjectquality improvement-
Título: dc.titleAppropriateness of imaging decisions for low back pain presenting to the emergency department: A retrospective chart review study-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

Não existem arquivos associados a este item.