Inpatient radiology utilization: Trends over the past decade

American Journal of Roentgenology

Volumn 186, Issue 1, 2006, Pages 7-11

  Matin, Amin ^a   Bates, David W ^a   Sussman, Andrew ^a   Ros, Pablo ^a   Hanson, Richard ^a   Khorasani, Ramin ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Health care costs; Imaging utilization; Inpatient imaging; Radiology services; Radiology workload

Indexed keywords

ADULT; ARTICLE; CASE MIX; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSIS RELATED GROUP; DIAGNOSTIC IMAGING; DISEASE SEVERITY; ECHOGRAPHY; FLUOROSCOPY; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICAL TECHNOLOGY; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; RADIOLOGIST; UTILIZATION REVIEW; WORKLOAD; X RAY FILM; RADIOLOGY DEPARTMENT; RETROSPECTIVE STUDY; STATISTICAL MODEL; STATISTICS;

ADULT; DIAGNOSTIC IMAGING; HUMANS; INPATIENTS; LINEAR MODELS; RADIOLOGY DEPARTMENT, HOSPITAL; RETROSPECTIVE STUDIES;

EID: 33644844522     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.04.0633     Document Type: Article

References (35)

1. Khorasani R, Goel PK, Ma'luf NM, Fox LA, Seltzer SE, Bates DW. Trends in the use of radiology with inpatients: what has changed in a decade? AJR 1998; 170:859-861
2. Henley MB, Mann FA, Holt S, Marotta J. Trends in case-mix-adjusted use of radiology resources at an urban level 1 trauma center. AJR 2001; 176:851-854
3. Maitino AJ, Levin DC, Parker L, Rao VM, Sunshine JH. Nationwide trends in rates of utilization of noninvasive diagnostic imaging among the Medicare population between 1993 and 1999. Radiology 2003; 227:113-117
4. Bhargavan M, Sunshine JH. Workload of radiologists in the United States in 1998-1999 and trends since 1995-1996. AJR 2002; 179:1123-1128
5. Sunshine JH, Bushee GR, Mallick R. U.S. radiologists' workload in 1995-1996 and trends since 1991-1992. Radiology 1998; 208:19-24
6. Liebeskind ME, Arger PH, Liebeskind A, Maston K, Langlotz C. Using sonography to examine adult patients at an academic medical center: have usage patterns changed with the expansion of managed care? AJR 2002; 179:1395-1399
7. Mettler FA Jr, Briggs JE, Carchman R, Altobelli KK, Hart BL, Kelsey CA. Use of radiology in U.S. general short-term hospitals: 1980-1990. Radiology 1993; 189:377-380
8. Doris CI. Diagnostic imaging at its centennial: the past, the present and the future. CMAJ 1995; 153:1297-1300
9. Tempany CM, McNeil BJ. Advances in biomedical imaging. JAMA 2001; 285:562-567
10. Naghavi M, Madjid M, Khan MR, Mohammadi RM, Willerson JT, Casscells SW. New developments in the detection of vulnerable plaque. Curr Atheroscler Rep 2001; 3:125-135
11. Thornbury JR. Why should radiologists be interested in technology assessment and outcomes research? AJR 1994; 163:1027-1030
12. Hunink MG. Outcomes research and cost-effectiveness analysis in radiology. Eur J Radiol 1998; 27:85-87
13. Thornbury JR. Intermediate outcomes: diagnostic and therapeutic impact. Acad Radiol 1999; 6[suppl 1]:S58-S65
14. Ginsberg MS, Oh J, Welber A, Panicek DM. Clinical usefulness of imaging performed after CT angiography that was negative for pulmonary embolus in a high-risk oncologic population. AJR 2002; 179:1205-1208 [Erratum in AJR 2003; 180:1737]
15. Rothschild JM, Khorasani R, Silverman SG, Manson RW, Fiskio JM, Bates DW. Abdominal cross-sectional imaging for inpatients with abnormal liver function test results: yield and usefulness. Arch Intern Med 2001; 161:583-588
16. Blankenberg FG, Norbash AM, Lane B, Stevenson DK, Bracci PM, Enzmann DR. Neonatal intracranial ischemia and hemorrhage: diagnosis with US, CT, and MR imaging. Radiology 1996; 199:253-259
17. Khorasani R, Gudas TF, Nikpoor N, Polak JF. Treatment of patients with suspected pulmonary embolism and intermediate-probability lung scans: is diagnostic imaging underused? AJR 1997; 169:1355-1357
18. Cooperberg MR, Lubeck DP, Grossfeld GD, Mehta SS, Carroll PR. Contemporary trends in imaging test utilization for prostate cancer staging: data from the cancer of the prostate strategic urologic research endeavor. J Urol 2002; 168:491-495
19. Rogg JM, Smeaton S, Doberstein C, Goldstein JH, Tung GA, Haas RA. Assessment of the value of MR imaging for examining patients with angiographically negative subarachnoid hemorrhage. AJR 1999; 172:201-206
20. Bui AA, Dionisio JD, Morioka CA, Sinha U, Taira RK, Kangarloo H. DataServer: an infrastructure to support evidence-based radiology. Acad Radiol 2002; 9:670-678
21. Stolberg HO, Holt A, Thomas J, Williams L, Moran LA. A database designed for utilization management in diagnostic imaging. Can Assoc Radiol J 1999; 50:227-232
22. Bui AA, Taira RK, Dionisio JD, Aberle DR, El-Saden S, Kangarloo H. Evidence-based radiology: requirements for electronic access. Acad Radiol 2002; 9:662-669
23. ACR Web site. Appropriateness criteria. Available at: www.acr.org/departments/appropriateness_ criteria/toc.html. Accessed August 4, 2003
24. Rao VM, Parker L, Levin DC, Sunshine J, Bushee G. Use trends and geographic variation in neuroimaging: nationwide Medicare data for 1993 and 1998. Am J Neuroradiol 2001; 22:1643-1649
25. Levin DC, Parker L, Intenzo CM, Sunshine JH. Recent rapid increase in utilization of radionuclide myocardial perfusion imaging and related procedures: 1996-1998 practice patterns. Radiology 2002; 222:144-148
26. Dorfman GS. Utilization of diagnostic tests: assessing appropriateness. Acad Radiol 1999; 6[suppl 1]:S40-S46
27. Guy S, Wardlaw JM. Who writes guidelines, and who should? Clin Radiol 2002; 57:891-897
28. Kainberger F, Czembirek H, Fruhwald F, Pokieser P, Imhof H. Guidelines and algorithms: strategies for standardization of referral criteria in diagnostic radiology. Eur Radiol 2002; 12:673-679
29. Gottlieb RH, Hollenberg GM, Fultz PJ, Rubens DJ. Radiologic consultation: effect on inpatient diagnostic imaging evaluation in a teaching hospital. Acad Radiol 1997; 4:217-221
30. Bree RL, Kazerooni EA, Katz SJ. Effect of mandatory radiology consultation on inpatient imaging use: a randomized controlled trial. JAMA 1996; 276:1595-1598
31. Kahn CE Jr, Michalski TA, Erickson SJ, et al. Appropriateness of imaging procedure requests: do radiologists agree? AJR 1997; 169:11-14
32. Carton M, Auvert B, Guerini H, et al. Assessment of radiological referral practice and effect of computer-based guidelines on radiological requests in two emergency departments. Clin Radiol 2002; 57:123-128
33. [No authors listed]. Methodological Issues in Diagnostic Clinical Trials: Health Services and Outcomes Research in Radiology. Symposium proceedings. Washington DC, USA, March 15-16, 1998. Acad Radiol 1999; 6[suppl 1]:S1-136
34. Evidence-based radiology working group. Evidence-based radiology: a new approach to the practice of radiology. Radiology 2001; 220:566-575
35. Burkhardt JH, Sunshine JH. Utilization of radiologic services in different payment systems and patient populations. Radiology 1996; 200:201-207