Observational Study of the Downstream Consequences of Inappropriate MRI of the Lumbar Spine.
Josephine C JacobsJeffrey G JarvikRoger ChouDerek BoothroydJeanie LoAndrea NevedalPaul G BarnettPublished in: Journal of general internal medicine (2020)
The association between early imaging and increased utilization was apparent even in a setting largely unaffected by incentives of fee-for-service care. Reduced imaging cost is only part of the motivation to improve adherence with guidelines for the use of MRI. Early scans are associated with excess surgery, higher costs for other care, and worse outcomes, including potential harms from prescription opioids.
Keyphrases
- healthcare
- contrast enhanced
- diffusion weighted imaging
- high resolution
- magnetic resonance imaging
- palliative care
- pain management
- quality improvement
- computed tomography
- minimally invasive
- chronic pain
- mental health
- type diabetes
- smoking cessation
- affordable care act
- acute coronary syndrome
- photodynamic therapy
- risk assessment
- glycemic control
- percutaneous coronary intervention