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磁共振成像与医疗保险患者腰痛护理

Magnetic resonance imaging and low back pain care for Medicare patients.

机构信息

Stanford University's School of Medicine in Stanford, California, USA.

出版信息

Health Aff (Millwood). 2009 Nov-Dec;28(6):w1133-40. doi: 10.1377/hlthaff.28.6.w1133. Epub 2009 Oct 14.

DOI:10.1377/hlthaff.28.6.w1133
PMID:19828486
Abstract

Magnetic resonance imaging (MRI) is a technology frequently used to evaluate low back pain, despite evidence that challenges the usefulness of routine MRI and the surgical interventions it may trigger. We analyze the relationship between MRI supply and care for fee-for-service Medicare patients with low back pain. We find that increases in MRI supply are related to higher use of both low back MRI and surgery. This is worrisome, and careful attention should be paid to assessing the outcomes for patients.

摘要

磁共振成像(MRI)是一种常用于评估腰痛的技术,尽管有证据质疑常规 MRI 的有用性及其可能引发的手术干预。我们分析了 MRI 供应与医疗保险按服务收费计划下腰痛患者护理之间的关系。我们发现 MRI 供应的增加与低腰 MRI 和手术的使用增加有关。这令人担忧,应该仔细关注评估患者的结果。

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Magnetic resonance imaging and low back pain care for Medicare patients.磁共振成像与医疗保险患者腰痛护理
Health Aff (Millwood). 2009 Nov-Dec;28(6):w1133-40. doi: 10.1377/hlthaff.28.6.w1133. Epub 2009 Oct 14.
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Medical versus surgical treatment for low back pain: evidence and clinical practice.腰痛的药物治疗与手术治疗:证据与临床实践
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The cascade of medical services and associated longitudinal costs due to nonadherent magnetic resonance imaging for low back pain.因腰椎疼痛患者未坚持进行磁共振成像检查而导致的一系列医疗服务及相关长期费用。
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