Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review
| dc.contributor.author | Kjelle, Elin | |
| dc.contributor.author | Andersen, Eivind R. | |
| dc.contributor.author | Krokeide, Arne M. | |
| dc.contributor.author | Soril, Lesley J. J. | |
| dc.contributor.author | van Bodegom-Vos, Leti | |
| dc.contributor.author | Clement, Fiona M. | |
| dc.contributor.author | Hofmann, Bjørn M. | |
| dc.date.accessioned | 2022-04-24T00:03:21Z | |
| dc.date.available | 2022-04-24T00:03:21Z | |
| dc.date.issued | 2022-04-21 | |
| dc.date.updated | 2022-04-24T00:03:21Z | |
| dc.description.abstract | Abstract Background 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. Methods 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. Results 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. Conclusions 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. | |
| dc.identifier.citation | BMC Medical Imaging. 2022 Apr 21;22(1):73 | |
| dc.identifier.doi | https://doi.org/10.1186/s12880-022-00798-2 | |
| dc.identifier.uri | http://hdl.handle.net/1880/114578 | |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s) | |
| dc.title | Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review | |
| dc.type | Journal Article |