Evidence map›Paper›PMID 30201676›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Improving Effective Magnetic Resonance Imaging (MRI) Application in Soft Tissue Wrist Injury.

Alfred P Yoon, Alexandra L Mathews, Helen E Huetteman, Brett F Michelotti, Kevin C Chung

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

5 authors at 3 institutions in 1 country.

Alfred P YoonFrom the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC).
Alexandra L MathewsFrom the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC).
Helen E HuettemanFrom the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC).
Brett F MichelottiFrom the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC).
Kevin C ChungFrom the Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor (APY, HEH); Stritch School of Medicine, Loyola University, Chicago, IL (ALM); Department of Surgery, Division of Plastic Surgery, University of Wisconsin Health System, Madison, WI (BFM); Section of Plastic Surgery, Assistant Dean for Faculty Affairs, The University of Michigan Medical School, Ann Arbor (KCC). kecchung@umich.edu.
University of Wisconsin Health · USLoyola University Chicago · USUniversity of Michigan–Ann Arbor · US

Funding

Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS K24 AR053120
6 · The paper itself

Abstract

introductionMagnetic resonance imaging (MRI) for soft-tissue wrist injury may be overprescribed, contributing to ineffective health care resource use. We aimed to discern predictive factors that may improve MRI's application in soft-tissue wrist injury.

methodsWe conducted a retrospective chart review of adults who underwent MRIs for possible soft-tissue wrist injury between June 2009 and June 2014. Clinical data and treatment recommendations before and after MRI were analyzed. If the MRI-directed treatment recommendation was different from before MRI, the MRI was noted to have influenced the patient's treatment (Impact MRI).

resultsAmong 140 MRI scans, 39 (28%) impacted treatment recommendation. Twenty-six Impact MRIs were ordered by hand surgeons, whereas 13 were ordered by referring physicians (

conclusionsMRIs for soft-tissue wrist injuries may more likely change management when the patient is younger, ordered within 6 weeks of symptom onset, and prescribed with a specific differential diagnosis. Referral to a hand surgeon should be considered before wrist MRI for the following patients: history of hand surgery/trauma, older than 36 years likely due to confounding chronic wrist changes, symptomatic for more than 6 weeks, and without clear differential diagnoses for the symptoms.

Indexed as

Magnetic Resonance ImagingAdultFemaleHumansMaleMeaningful UseRetrospective StudiesSoft Tissue InjuriesWrist InjuriesDifferential DiagnosisMagnetic Resonance ImagingSoft Tissue InjuriesSurgeonsWrist Injuries

Identifiers

PMID30201676
PMCPMC6341471
OpenAlexW2891388192

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.