期刊
ANNALS OF INTERNAL MEDICINE
卷 154, 期 3, 页码 181-+出版社
AMER COLL PHYSICIANS
DOI: 10.7326/0003-4819-154-3-201102010-00008
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资金
- Wellpoint
- Palladian Health
- Consumers Union
- Blue Cross Blue Shield Association
- American Pain Society
- Agency for Healthcare Research and Quality
Diagnostic imaging is indicated for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying condition. In other patients, evidence indicates that routine imaging is not associated with clinically meaningful benefits but can lead to harms. Addressing inefficiencies in diagnostic testing could minimize potential harms to patients and have a large effect on use of resources by reducing both direct and downstream costs. In this area, more testing does not equate to better care. Implementing a selective approach to low back imaging, as suggested by the American College of Physicians and American Pain Society guideline on low back pain, would provide better care to patients, improve outcomes, and reduce costs.
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