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

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Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten : MRT och DT ger bättre och billigare resultat. / Annertz, Mårten; Andrén-Sandberg, Åke; Aspelin, Peter; Fridén, Thomas; Geijer, Mats; Nyman, Ulf.

I: Lakartidningen, Vol. 114, Nr. 46, 2017, s. 1962.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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TY - JOUR

T1 - Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten

T2 - Läkartidningen

AU - Annertz, Mårten

AU - Andrén-Sandberg, Åke

AU - Aspelin, Peter

AU - Fridén, Thomas

AU - Geijer, Mats

AU - Nyman, Ulf

PY - 2017

Y1 - 2017

N2 - 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«.

AB - 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«.

UR - http://www.scopus.com/inward/record.url?scp=85034643244&partnerID=8YFLogxK

M3 - Artikel i vetenskaplig tidskrift

VL - 114

SP - 1962

JO - Läkartidningen

JF - Läkartidningen

SN - 0023-7205

IS - 46

ER -