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Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten : MRT och DT ger bättre och billigare resultat

Annertz, Mårten LU ; Andrén-Sandberg, Åke; Aspelin, Peter; Fridén, Thomas; Geijer, Mats LU and Nyman, Ulf LU (2017) In Lakartidningen 114(46). p.1962-1962
Abstract

In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one »red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks... (More)

In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one »red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks duration in combination with »yellow flags«.

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author
organization
alternative title
Lumbar spine radiography – Unreliable diagnostic accuracy and negligible value for the patients
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
114
issue
46
pages
1 pages
publisher
Swedish Medical Association
external identifiers
  • scopus:85034643244
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
341f20e8-1df5-497d-bd53-9dbbaa236727
date added to LUP
2017-12-21 12:04:54
date last changed
2018-01-11 10:06:12
@article{341f20e8-1df5-497d-bd53-9dbbaa236727,
  abstract     = {<p>In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one »red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks duration in combination with »yellow flags«.</p>},
  author       = {Annertz, Mårten and Andrén-Sandberg, Åke and Aspelin, Peter and Fridén, Thomas and Geijer, Mats and Nyman, Ulf},
  issn         = {0023-7205},
  language     = {swe},
  number       = {46},
  pages        = {1962--1962},
  publisher    = {Swedish Medical Association},
  series       = {Lakartidningen},
  title        = {Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten : MRT och DT ger bättre och billigare resultat},
  volume       = {114},
  year         = {2017},
}