Providing Epidemiological Data in Lumbar Spine Imaging Reports Did Not Affect Subsequent Utilization of Spine Procedures: Secondary Outcomes from a Stepped-Wedge Randomized Controlled Trial.
Epidural Injections
Injection
Injections
Lumbar
Radiofrequency Ablation
Radiology
Spine
Zygapophyseal Joint
Journal
Pain medicine (Malden, Mass.)
ISSN: 1526-4637
Titre abrégé: Pain Med
Pays: England
ID NLM: 100894201
Informations de publication
Date de publication:
04 06 2021
04 06 2021
Historique:
pubmed:
18
2
2021
medline:
25
6
2021
entrez:
17
2
2021
Statut:
ppublish
Résumé
To evaluate the effect of inserting epidemiological information into lumbar spine imaging reports on subsequent nonsurgical and surgical procedures involving the thoracolumbosacral spine and sacroiliac joints. Analysis of secondary outcomes from the Lumbar Imaging with Reporting of Epidemiology (LIRE) pragmatic stepped-wedge randomized trial. Primary care clinics within four integrated health care systems in the United States. 238,886 patients ≥18 years of age who received lumbar diagnostic imaging between 2013 and 2016. Clinics were randomized to receive text containing age- and modality-specific epidemiological benchmarks indicating the prevalence of common spine imaging findings in people without low back pain, inserted into lumbar spine imaging reports (the "LIRE intervention"). The study outcomes were receiving 1) any nonsurgical lumbosacral or sacroiliac spine procedure (lumbosacral epidural steroid injection, facet joint injection, or facet joint radiofrequency ablation; or sacroiliac joint injection) or 2) any surgical procedure involving the lumbar, sacral, or thoracic spine (decompression surgery or spinal fusion or other spine surgery). The LIRE intervention was not significantly associated with subsequent utilization of nonsurgical lumbosacral or sacroiliac spine procedures (odds ratio [OR] = 1.01, 95% confidence interval [CI] 0.93-1.09; P = 0.79) or any surgical procedure (OR = 0.99, 95 CI 0.91-1.07; P = 0.74) involving the lumbar, sacral, or thoracic spine. The intervention was also not significantly associated with any individual spine procedure. Inserting epidemiological text into spine imaging reports had no effect on nonsurgical or surgical procedure utilization among patients receiving lumbar diagnostic imaging.
Identifiants
pubmed: 33595635
pii: 6141027
doi: 10.1093/pm/pnab065
pmc: PMC8185556
doi:
Banques de données
ClinicalTrials.gov
['NCT02015455']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1272-1280Subventions
Organisme : NIAMS NIH HHS
ID : P30 AR072572
Pays : United States
Organisme : NCCIH NIH HHS
ID : U24 AT009676
Pays : United States
Organisme : NIAMS NIH HHS
ID : UH3 AR066795
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH2 AT007766
Pays : United States
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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