Who Refers Musculoskeletal Extremity Imaging Examinations to Radiologists?

AJR. American Journal of Roentgenology
Paul HarkeyAndrew B Rosenkrantz

Abstract

The purpose of this study is to identify the specialty characteristics of providers referring musculoskeletal (MSK) extremity imaging examinations to radiologists, so as to better understand the drivers of MSK imaging utilization and potentially improve the appropriateness of such imaging examinations. Data on provider referral for MSK extremity imaging services were extracted from the 2014 Medicare Referring Provider Utilization for Procedures public use file, which aggregates data on diagnostic procedures according to referring provider identities and service codes. MSK extremity imaging services were identified using Neiman Institute Types of Service codes. The referring provider specialty was identified from cross-linked Medicare provider characteristics files. For 4,275,647 MSK extremity imaging examinations ordered, the most common specialties of the referring providers were orthopedic surgery (37.6% of ordered examinations), internal medicine (20.2%), family practice (14.8%), emergency medicine (7.9%), and rheumatology (5.7%). Orthopedic surgery was the referring specialty that most commonly ordered MSK extremity CT (33,465 ordered examinations; for all other specialties, < 2000 examinations), MRI (325,485 examinations; ...Continue Reading

References

Mar 4, 2008·Journal of the American College of Radiology : JACR·Laurence ParkerVijay M Rao
Feb 7, 2012·Journal of the American College of Radiology : JACR·Richard E SharpeDavid C Levin
Mar 5, 2013·Seminars in Roentgenology·Corrie M YablonJon A Jacobson
Aug 8, 2015·Journal of the American College of Radiology : JACR·Kirven GilbertRichard Duszak
Jul 12, 2016·Current Radiology Reports·Nathalie J Bureau, Daniela Ziegler
Mar 18, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Michael V FriedmanJennifer L Demertzis
Apr 1, 2017·Abdominal Radiology·Andrew B RosenkrantzRichard Duszak
Aug 5, 2017·AJR. American Journal of Roentgenology·Soterios GyftopoulosRichard Duszak

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