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Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?

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 pa...

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Autores principales: Song, Young Dong, Jain, Nimesh Prakash, Kim, Seok Jin, Kwon, Sae Kwang, Chang, Moon Jong, Chang, Chong Bum, Kim, Tae Kyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Knee Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458489/
https://www.ncbi.nlm.nih.gov/pubmed/26060608
http://dx.doi.org/10.5792/ksrr.2015.27.2.95
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author Song, Young Dong
Jain, Nimesh Prakash
Kim, Seok Jin
Kwon, Sae Kwang
Chang, Moon Jong
Chang, Chong Bum
Kim, Tae Kyun
author_facet Song, Young Dong
Jain, Nimesh Prakash
Kim, Seok Jin
Kwon, Sae Kwang
Chang, Moon Jong
Chang, Chong Bum
Kim, Tae Kyun
author_sort Song, Young Dong
collection PubMed
description 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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spelling pubmed-44584892015-06-09 Is Knee Magnetic Resonance Imaging Overutilized in Current Practice? Song, Young Dong Jain, Nimesh Prakash Kim, Seok Jin Kwon, Sae Kwang Chang, Moon Jong Chang, Chong Bum Kim, Tae Kyun Knee Surg Relat Res Original Article 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. The Korean Knee Society 2015-06 2015-06-01 /pmc/articles/PMC4458489/ /pubmed/26060608 http://dx.doi.org/10.5792/ksrr.2015.27.2.95 Text en Copyright © 2015 KOREAN KNEE SOCIETY http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Song, Young Dong
Jain, Nimesh Prakash
Kim, Seok Jin
Kwon, Sae Kwang
Chang, Moon Jong
Chang, Chong Bum
Kim, Tae Kyun
Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title_full Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title_fullStr Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title_full_unstemmed Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title_short Is Knee Magnetic Resonance Imaging Overutilized in Current Practice?
title_sort is knee magnetic resonance imaging overutilized in current practice?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458489/
https://www.ncbi.nlm.nih.gov/pubmed/26060608
http://dx.doi.org/10.5792/ksrr.2015.27.2.95
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