Annual Trends and Geographic Variation in the Utilization of Imaging in Pediatric Patients with Low Back Pain in the United States.

World Neurosurgery
Suraj DhanjaniAmit Jain

Abstract

Low back pain (LBP) is increasing in the pediatric population. Advanced imaging, such as computed tomography and magnetic resonance imaging, performed for LBP imposes significant costs with little benefit. We investigated annual trends and demographic and geographic variation in spinal imaging for first-time pediatric presenters with LBP in primary care clinics. We queried a private administrative claims database for patients presenting with LBP who underwent plain radiography, computed tomography, and magnetic resonance imaging from 2011 to 2017. We used a Cochrane Armitage test of trend to determine significant annual variation in diagnostic imaging utilization during the study period. The χ2 test was used to determine demographic and geographic variation. The study included 67,423 patients with mean age 15.2 ± 3 years. There was no significant change in radiography (34.8% in 2011 vs. 35.5% in 2017, P = 0.795) or computed tomography (1.6% in 2011 vs. 1.1% in 2017, P = 0.073), but there was a significant increase in magnetic resonance imaging (3.3% in 2011 vs. 4.5% in 2017, P = 0.017). Overall, there was no significant change in total imaging use (P = 0.895). Boys had higher rates of imaging compared with girls (40.2% vs. 35.6...Continue Reading

References

Feb 13, 2001·AJR. American Journal of Roentgenology·D BrennerW Berdon
May 29, 2002·Pain·Kath D WatsonGary J Macfarlane
Apr 5, 2008·Journal of Pediatric Orthopedics·Nitin N BhatiaHugh G Watts
Nov 21, 2009·AJNR. American Journal of Neuroradiology·D P Rodriguez, T Y Poussaint
Mar 24, 2010·AJR. American Journal of Roentgenology·Laurence ParkerVijay M Rao
Jan 5, 2011·Archives of Pediatrics & Adolescent Medicine·Adam L DorfmanBrahmajee K Nallamothu
Mar 14, 2013·Journal of Pediatric Orthopedics·Robert MillerDenis Drummond
Apr 2, 2014·Journal of Pediatric Orthopedics·Norman RamirezRaul E Macchiavelli
Jun 3, 2014·BMC Public Health·Michael Steven SwainChristopher Gerard Maher
Nov 7, 2014·Journal of General Internal Medicine·Carrie H CollaMeredith B Rosenthal
Jul 15, 2015·Journal of the American Board of Family Medicine : JABFM·Amanda KostStephen R Smith
Aug 8, 2015·The Journal of Bone and Joint Surgery. American Volume·Andrew J PugelyJohn J Callaghan
May 4, 2016·Health Services Research·Michael Richard McKellarMichael E Chernew
May 10, 2016·The Journal of Arthroplasty·Harpreet S BawaDouglas R Dirschl
Jul 2, 2016·JAMA Internal Medicine·A Sofia WarnerLisa Soleymani Lehmann
Dec 25, 2016·Journal of the American College of Radiology : JACR·Suhui LiDanny R Hughes
May 6, 2017·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Pediatric Imaging:Susan Palasis
Nov 7, 2017·Best Practice & Research. Clinical Rheumatology·Steven J KamperChristopher M Williams
May 28, 2019·Journal of the American College of Radiology : JACR·Jina PakpoorAmit Jain

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