Doll Joy, Kreikemeier Madison, Maddigan Cassie, Marshall Nathaniel, Young Maggie
CyncHealth, Dba Nebraska Health Information Initiative, PO Box 27842, Omaha, NE, 68127, USA.
Former Students at Creighton University, 2500 California Plaza, Omaha, NE, 68178, USA.
J Med Syst. 2022 Jun 9;46(7):51. doi: 10.1007/s10916-022-01838-8.
Excessive amounts of resources in healthcare are wasted due to duplicated or unnecessary health screenings, especially in the diagnosis of low back pain (LBP). Research shows that two-thirds of people will present with LBP at some point throughout their lifetime, but 20-50% of high-tech imaging procedures fail to provide information that improves the patient's condition, representing unnecessary services. The purpose of this study was to evaluate the existence of unnecessary imaging for low back pain throughout healthcare systems in Nebraska based on what was documented in the electronic health record. This study was a retrospective electronic health record analysis of a limited data set focused on procedures related to imaging for LBP extracted from Nebraska Health Information Exchange (HIE) managed by CyncHealth. The sample included 937 patient records with a diagnosis of LBP who received imaging in the state of Nebraska and whose health record was recorded in the Nebraska HIE. To determine necessity, records were categorized in three areas including necessary imaging, likely wasteful imaging, or wasteful imaging based on the criteria from the "First, Do No Harm" study conducted by the Washington Health Alliance. Results revealed a total of 51% of low back pain imaging considered wasteful, 35% likely wasteful, and 14% necessary. Based on these results, further research is warranted to determine specific demographics related to necessary, likely wasteful, and wasteful imaging and the purpose for performing these expensive imaging procedures.
由于重复或不必要的健康筛查，医疗保健领域存在大量资源浪费，尤其是在腰痛（LBP）的诊断方面。研究表明，三分之二的人在其一生中的某个阶段会出现腰痛，但20%-50%的高科技成像检查未能提供改善患者病情的信息，属于不必要的服务。本研究的目的是根据电子健康记录中的记录，评估内布拉斯加州整个医疗系统中针对腰痛进行的不必要成像检查的存在情况。本研究是对一个有限数据集的回顾性电子健康记录分析，重点关注从由CyncHealth管理的内布拉斯加州健康信息交换中心（HIE）提取的与腰痛成像相关的程序。样本包括937例在内布拉斯加州接受成像检查且健康记录在内布拉斯加州HIE中的腰痛诊断患者记录。为了确定必要性，根据华盛顿健康联盟进行的“首先，不造成伤害”研究的标准，将记录分为三个类别，包括必要成像、可能浪费的成像或浪费的成像。结果显示，总共51%的腰痛成像被认为是浪费的，35%可能是浪费的，14%是必要的。基于这些结果，有必要进行进一步研究，以确定与必要、可能浪费和浪费的成像相关的具体人口统计学特征以及进行这些昂贵成像检查的目的。
