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Eur Radiol:下背部疼痛急性期要不要做个MRI呢?

2017-12-19 shaosai MedSci原创

本研究旨在验证在非老年下背部疼痛的患者行急性期腰椎MRI的检查率会因放射科医生的参与而降低这一假说,并将结果发表在Eur Radiol上。

本研究旨在验证在非老年下背部疼痛的患者行急性期腰椎MRI的检查率会因放射科医生的参与而降低这一假说,并将结果发表在Eur Radiol上。

本研究分析了自2013-2015年14819例因下背部痛就诊的非老年患者(平均年龄38.7±8.0岁)。研究人员基于放射科医生的水平和MRI设备的拥有情况将就诊医院分为4组,并利用分层Logistic回归分析比较行急性腰椎MRI的频率。

患者在就诊无全职放射科医生的医院时较有≥1放射科医生管理工作流程的医院(level-1, n=491)、≥1严格管理工作流程的医院(level-2, n=1190) (15.7% vs. 6.9% vs.7.3%;无放射科医生与level-2的调整后OR为: 2.93, p=0.018)更可能会进行急性期MRI检查。在level-1与level-2间无明显统计学差异。

本研究表明,无全职放射科医生的医疗单位更倾向于进行急性期MRI来评估下背部痛,而对于有不同水平放射科医生参与的医疗单位间无统计学差异。放射科医生的参与有益于对影像学检查的优化使用。

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1678264, encodeId=b05416e82647b, content=<a href='/topic/show?id=12025231333' target=_blank style='color:#2F92EE;'>#急性期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52313, encryptionId=12025231333, topicName=急性期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Mon May 28 10:56:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=271532, encodeId=6af62e15327f, content=^_^^_^^_^^_^, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Fri Dec 22 14:33:46 CST 2017, time=2017-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270678, encodeId=dba52e0678d0, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Tue Dec 19 18:46:47 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270665, encodeId=5dce2e066521, content=学习了.好文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Tue Dec 19 17:20:38 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270661, encodeId=8ff02e0661ed, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Tue Dec 19 16:59:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-22 wqkm

    ^_^^_^^_^^_^

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1678264, encodeId=b05416e82647b, content=<a href='/topic/show?id=12025231333' target=_blank style='color:#2F92EE;'>#急性期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52313, encryptionId=12025231333, topicName=急性期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Mon May 28 10:56:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=271532, encodeId=6af62e15327f, content=^_^^_^^_^^_^, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Fri Dec 22 14:33:46 CST 2017, time=2017-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270678, encodeId=dba52e0678d0, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Tue Dec 19 18:46:47 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270665, encodeId=5dce2e066521, content=学习了.好文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Tue Dec 19 17:20:38 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270661, encodeId=8ff02e0661ed, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Tue Dec 19 16:59:50 CST 2017, time=2017-12-19, status=1, ipAttribution=)]
    2017-12-19 戒馋,懒,贪

    谢谢分享学习了

    0

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    2017-12-19 1ddf0692m34(暂无匿称)

    学习了.好文章

    0

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    2017-12-19 1e0f8808m18(暂无匿称)

    学习了.谢谢分享.

    0

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