Evidence map›Paper›PMID 31348627›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2019

Determining the appropriateness of requests for outpatient magnetic resonance imaging of the hip

Alexander Manta, Jennie O’Grady, Robert Bleakney, John Theodoropoulos

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. The inappropriateness of brain MRI prescriptions: a study from Iran.Cost effectiveness and resource allocation : C/E · 2021
    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

4 authors at 3 institutions in 2 countries.

Alexander MantaFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Manta); the University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, Ont. (O’Grady, Theodoropoulos); the Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ont. (Bleakney); and the Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ont. (Theodoropoulos).
Jennie O’GradyFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Manta); the University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, Ont. (O’Grady, Theodoropoulos); the Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ont. (Bleakney); and the Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ont. (Theodoropoulos).
Robert BleakneyFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Manta); the University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, Ont. (O’Grady, Theodoropoulos); the Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ont. (Bleakney); and the Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ont. (Theodoropoulos).
John TheodoropoulosFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Manta); the University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, Ont. (O’Grady, Theodoropoulos); the Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ont. (Bleakney); and the Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ont. (Theodoropoulos).
Women's College Hospital · CAMount Sinai Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Summary: In Ontario, Canada, wait times for magnetic resonance imaging (MRI) scans continue to exceed provincial targets. We sought to determine the incidence of inappropriate hip MRI scan referrals, based on accepted indications for hip MRI. We developed an algorithm to appraise each MRI referral based on a prescan patient questionnaire and the interpretation of the MRI by a musculoskeletal radiologist. After reviewing 84 patient questionnaires, we considered 32.1% of MRI referrals to be inappropriate; 25.9% of the inappropriate MRI referrals were ordered as a preoperative test for potential hip arthroscopy despite the patients showing severe osteoarthritis. Having no prior radiographic examination was the most common reason for inappropriate referrals, regardless of pathology (48.1%). With limited MRI scanner time available in Ontario, it is essential that guidelines and training be improved on the indications for hip MRI to reduce the wait times for these specialized tests.

Indexed as

Magnetic Resonance ImagingAmbulatory CareContraindications, ProcedureHipHip InjuriesHip JointHumansJoint DiseasesMedical OveruseOntarioReferral and ConsultationWaiting Lists

Identifiers

PMID31348627
PMCPMC6660280
OpenAlexW2966420680

What OpenQuestion holds

Textmetadata
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.