Evidence map›Paper›PMID 26661954›Full record

ArticleLa Radiologia medica2016

Appropriateness of knee MRI prescriptions: clinical, economic and technical issues.

F M Solivetti, A Guerrisi, N Salducca, F Desiderio, D Graceffa, G Capodieci, P Romeo, I Sperduti, S Canitano

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In one paragraph

Article in La Radiologia medica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

F M SolivettiRadiologia e Diagnostica per Immagini, I.R.C.C.S-Istituto Dermosifilopatico di Santa Maria e San Gallicano, I.F.O., Via Elio Chianesi 53, Rome, Italy.
A GuerrisiRadiologia e Diagnostica per Immagini, I.R.C.C.S-Istituto Dermosifilopatico di Santa Maria e San Gallicano, I.F.O., Via Elio Chianesi 53, Rome, Italy.
N SalduccaOrtopedia, Regina Elena National Cancer Institute - Roma, Via Elio Chianesi 53, Rome, Italy.
F DesiderioRadiologia e Diagnostica per Immagini, I.R.C.C.S-Istituto Dermosifilopatico di Santa Maria e San Gallicano, I.F.O., Via Elio Chianesi 53, Rome, Italy.
D GraceffaReumatologia, I.R.C.C.S-Istituto Dermosifilopatico di Santa Maria e San Gallicano, I.F.O., Via Elio Chianesi 53, Rome, Italy.
G CapodieciDipartimento di Scienze Radiologiche, ASP di Siracusa, C.so Gelone 17, Syracusa, Italy.
P RomeoUnità Operativa Diagnostica per Immagini, ASP di Messina, Via La farina 263/n, Messina, Italy.
I SperdutiDirezione Scientifica, Regina Elena National Cancer Institute - Roma, Via Elio Chianesi 53, Rome, Italy.
S CanitanoRadiologia e Diagnostica per Immagini, Regina Elena National Cancer Institute - Roma, Via Elio Chianesi 53, Rome, Italy. canitano@ifo.it.
San Gallicano Hospital · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMany studies show that a large portion of medical prescriptions for diagnostic examinations may be not useful for patient's management or unnecessary. Rapid technological advancement has made it possible for magnetic resonance imaging (MRI) to be increasingly used all over the world, particularly for musculoskeletal disorders. The aim of this study was to assess the appropriateness of the knee MRI prescriptions. MATERIALS AND

methodsA panel of experts found standard clinical practice guidelines in the management of knee disorders. Secondly, the finalized set of guidelines chosen was compared with the data of 400 patients who underwent previous knee MRIs, which were then reported in a specific questionnaire prepared by the authors. The rate of appropriateness of knee MRI prescriptions was then calculated.

resultsAlmost 21% of prescriptions were totally inappropriate, 18.8% were uncertain, and 60.2% could be considered totally appropriate. The most frequent prescription indication was for meniscal disorders that account for 26.8% of the total indications.

conclusionsOur results demonstrate that approximately 40% of the total prescriptions were totally inappropriate or uncertain and that most of these were made by general practitioners. In light of these results, the economic impact of inappropriate prescriptions on the Italian healthcare system has to be seriously considered.

Indexed as

Magnetic Resonance ImagingPrescriptionsAdolescentAdultAgedFemaleHumansJoint DiseasesKnee JointMaleMiddle AgedRetrospective StudiesSurveys and QuestionnairesYoung AdultAppropriateness criteriaKnee MRIMR prescriptions

Identifiers

PMID26661954
OpenAlexW2290659020

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.