Title | ||
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Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review |
Abstract | ||
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Inappropriate and wasteful use of health care resources is a common problem, constituting 10–34% of health services spending in the western world. Even though diagnostic imaging is vital for identifying correct diagnoses and administrating the right treatment, low-value imaging—in which the diagnostic test confers little to no clinical benefit—is common and contributes to inappropriate and wasteful use of health care resources. There is a lack of knowledge on the types and extent of low-value imaging. Accordingly, the objective of this study was to identify, characterize, and quantify the extent of low-value diagnostic imaging examinations for adults and children.
A scoping review of the published literature was performed. Medline-Ovid, Embase-Ovid, Scopus, and Cochrane Library were searched for studies published from 2010 to September 2020. The search strategy was built from medical subject headings (Mesh) for Diagnostic imaging/Radiology OR Health service misuse/Medical overuse OR Procedures and Techniques Utilization/Facilities and Services Utilization. Articles in English, German, Dutch, Swedish, Danish, or Norwegian were included. A total of 39,986 records were identified and, of these, 370 studies were included in the final synthesis. Eighty-four low-value imaging examinations were identified. Imaging of atraumatic pain, routine imaging in minor head injury, trauma, thrombosis, urolithiasis, after thoracic interventions, fracture follow-up and cancer staging/follow-up were the most frequently identified low-value imaging examinations. The proportion of low-value imaging varied between 2 and 100% inappropriate or unnecessary examinations. A comprehensive list of identified low-value radiological examinations for both adults and children are presented. Future research should focus on reasons for low-value imaging utilization and interventions to reduce the use of low-value imaging internationally. Systematic review registration: PROSPERO: CRD42020208072. |
Year | DOI | Venue |
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2022 | 10.1186/s12880-022-00798-2 | BMC Medical Imaging |
DocType | Volume | Issue |
Journal | 22 | 1 |
ISSN | Citations | PageRank |
1471-2342 | 0 | 0.34 |
References | Authors | |
0 | 7 |
Name | Order | Citations | PageRank |
---|---|---|---|
Elin Kjelle | 1 | 0 | 0.34 |
Eivind Richter Andersen | 2 | 0 | 0.34 |
Arne Magnus Krokeide | 3 | 0 | 0.34 |
Lesley J J Soril | 4 | 0 | 0.34 |
Leti van Bodegom-Vos | 5 | 0 | 0.34 |
Fiona M Clement | 6 | 0 | 0.34 |
Bjørn Morten Hofmann | 7 | 0 | 0.34 |