Why does the adverse effect of inappropriate MRI for LBP vary by geographic location? An exploratory analysis
OPEN BMC musculoskeletal disorders | 2 Dec 2019
M Shraim, M Cifuentes, JL Willetts, HR Marucci-Wellman and G Pransky
Early magnetic resonance imaging (eMRI) for nonspecific low back pain (LBP) not adherent to clinical guidelines is linked with prolonged work disability. Although the prevalence of eMRI for occupational LBP varies substantially among states, it is unknown whether the risk of prolonged disability associated with eMRI varies according to individual and area-level characteristics. The aim was to explore whether the known risk of increased length of disability (LOD) associated with eMRI scanning not adherent to guidelines for occupational LBP varies according to patient and area-level characteristics, and the potential reasons for any observed variations.
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