지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 95 - 100 (6page)
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초록· 키워드
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Purpose: To determine what proportion of patients visiting a tertiary knee clinic had pre-obtained knee magnetic resonance imaging (MRI) and to assess the impact of pre-obtained knee MRI on the selection of treatment plans.Materials and Methods: Six hundred and eighty patients were enrolled from patients who visited our knee clinic during a 6-month period. The proportion of patients with pre-obtained knee MRI was calculated, and associations of sociodemographic factors, disease category, and finally selected treatment options with knee MRI pre-obtainment were investigated. A utility assessment panel of five orthopaedic surgeons was formed and established utility assessment criteria. Two rounds of utility assessment (before and after MRI review) were performed.Results: Of the 680 patients, 185 (27%) had pre-obtained knee MRI. In the first round of utility assessment, 39%, 18%, and 43% of the 185 knee MRIs were evaluated as useful, equivocal, and arguably useless, respectively, and almost identical results were obtained in the second round. The proportion of assessed ‘useful MRI’ was higher in sports related injury (84%) and other conditions (91%) than in degenerative joint disease (18%) and nonspecific knee pain (31%). Utility assessment results among panels varied little for practice patterns and education duration.Conclusions: This study suggests clinicians should reconsider and counsel patients the expected utility of knee MRI acquisition.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Aboulafia AJ / 2002 / Prereferral evaluation of patients with suspected bone and soft tissue tumors / Clin Orthop Relat Res (397) : 83 ~ 88
Babbel D / 2012 / Magnetic resonance imaging in evaluating workers’ compensation patients / J Hand Surg Am 37 : 811 ~ 815
Bhattacharyya T / 2003 / The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee / J Bone Joint Surg Am 85 : 4 ~ 9
Bradley MP / 2005 / Overutilization of shoulder magnetic resonance imaging as a diagnostic screening tool in patients with chronic shoulder pain / J Shoulder Elbow Surg 14 :
Emery DJ / 2013 / Overuse of magnetic resonance imaging / JAMA Intern Med 173 : 823 ~ 825
Babbel D / 2012 / Magnetic resonance imaging in evaluating workers’ compensation patients / J Hand Surg Am 37 : 811 ~ 815
Bhattacharyya T / 2003 / The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee / J Bone Joint Surg Am 85 : 4 ~ 9
Bradley MP / 2005 / Overutilization of shoulder magnetic resonance imaging as a diagnostic screening tool in patients with chronic shoulder pain / J Shoulder Elbow Surg 14 :
Emery DJ / 2013 / Overuse of magnetic resonance imaging / JAMA Intern Med 173 : 823 ~ 825
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