Variation in use of all types of computed tomography by emergency physicians

American Journal of Emergency Medicine

Volumn 31, Issue 10, 2013, Pages 1437-1442

  Levine, Matthew B ^a   Moore, Andrew B ^a   Franck, Chris ^b   Li, Jie ^b   Kuehl, Damon R ^a  

^a VIRGINIA TECH CARILION SCHOOL OF MEDICINE   (United States)

^b VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; FEMALE; HOSPITAL DISCHARGE; HUMAN; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CROSS-SECTIONAL STUDIES; FEMALE; HOSPITAL BED CAPACITY, 500 AND OVER; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; RETROSPECTIVE STUDIES; TERTIARY CARE CENTERS; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA CENTERS; YOUNG ADULT;

EID: 84885311033     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2013.07.003     Document Type: Article

References (40)

1. F.K. Korley, J.C. Pham, and T.D. Kirsch Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998-2007 JAMA 304 2010 1465 1471
2. K.E. Kocher, W.J. Meurer, R. Fazel, P.A. Scott, H.M. Krumholz, and B.K. Nallamothu National trends in use of computed tomography in the emergency department Ann Emerg Med 58 2011 452 462.e3
3. T.D. Kirsch, Y.H. Hsieh, L. Horana, S.G. Holtzclaw, M. Silverman, and A. Chanmugam Computed tomography scan utilization in emergency departments: a multi-state analysis J Emerg Med 2010
4. A.S. Raja, K.J. Mortele, and R. Hanson Abdominal imaging utilization in the emergency department: trends over two decades Int J Emerg Med 4 2011 19
5. J. Lee, J. Kirschner, S. Pawa, D.E. Wiener, D.H. Newman, and K. Shah Computed tomography use in the adult emergency department of an academic urban hospital from 2001 to 2007 Ann Emerg Med 56 2010 591 596
6. V.M. Rao, D.C. Levin, L. Parker, A.J. Frangos, and J.H. Sunshine Trends in utilization rates of the various imaging modalities in emergency departments: nationwide Medicare data from 2000 to 2008 J Am Coll Radiol 8 2011 706 709
7. J. Broder, and D.M. Warshauer Increasing utilization of computed tomography in the adult emergency department, 2000-2005 Emerg Radiol 13 2006 25 30
8. D.B. Larson, L.W. Johnson, B.M. Schnell, S.R. Salisbury, and H.P. Forman National trends in CT use in the emergency department: 1995-2007 Radiology 258 2011 164 173
9. J.M. Pines Trends in the rates of radiography use and important diagnoses in emergency department patients with abdominal pain Med Care 47 7 2009 Jul 782 786
10. H.H. Abujudeh, R. Kaewlai, P.M. McMahon, W. Binder, R.A. Novelline, and G.S. Gazelle Abdominopelvic CT increases diagnostic certainty and guides management decisions: a prospective investigation of 584 patients in a large academic medical center AJR Am J Roentgenol 196 2 2011 238 243
11. P.D. Stein, S.E. Fowler, and L.R. Goodman Multidetector computed tomography for acute pulmonary embolism N Engl J Med 354 2006 2317 2327
12. A.S. Raja, C. Wright, and A.D. Sodickson Negative appendectomy rate in the era of CT: an 18-year perspective Radiology 256 2010 460 465
13. M.P. Rosen, D.Z. Sands, H.E. Longmaid 3rd, K.F. Reynolds, M. Wagner, and V. Raptopoulos Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain AJR Am J Roentgenol 174 5 2000 1391 1396
14. J.K. Iglehart Health insurers and medical-imaging policy - a work in progress N Engl J Med 360 2009 1030 1037
15. R. Smith-Bindman, D.L. Miglioretti, and E. Johnson Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996-2010 diagnostic imaging and radiation exposure JAMA 307 2012 2400 2409
16. E.S. Amis, P.F. Butler, and K.E. Applegate American College of Radiology white paper on radiation dose in medicine J Am Coll Radiol 4 2007 272 284
17. A.J. Einstein, M.J. Henzlova, and S. Rajagopalan Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography JAMA 298 2007 317 323
18. A. Sodickson, P.F. Baeyens, and K.P. Andriole Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults Radiology 251 2009 175 184
19. D.J. Brenner, and E.J. Hall Computed tomography - an increasing source of radiation exposure N Engl J Med 357 2007 2277 2284
20. OP-15 Technical Specifications Accessed from Qualitynet.org on May 21,2012 http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename= QnetPublic%2FPage%2FQnetTier2&cid=1228695266120
21. B. Harris, U. Hwang, W.S. Lee, and L.D. Richardson Disparities in use of computed tomography for patients presenting with headache Am J Emerg Med 27 2009 333 336
22. http://www.fda.gov/Radiation-EmittingProducts/RadiationSafety/ RadiationDoseReduction/ucm199994.htm. Accessed on 6/22/2013.
23. J.E. Andruchow, A.S. Raja, L.M. Prevedello, R.D. Zane, and R. Khorasani Variation in head computed tomography use for emergency department trauma patients and physician risk tolerance Arch Intern Med 172 2012 660 661
24. T.P. Klassen, M.H. Reed, and I.G. Stiell Variation in utilization of computed tomography scanning for the investigation of minor head trauma in children: a Canadian experience Acad Emerg Med 7 2000 739 744
25. I.G. Stiell, G.A. Wells, and K. Vandemheen Variation in ED use of computed tomography for patients with minor head injury Ann Emerg Med 30 1997 14 22
26. W.H.A. Ryu, A. Feinstein, A. Colantonio, D.L. Streiner, and D. Dawson Regional variability in the use of CT for patients with suspected mild traumatic brain injury Can J Neurol Sci 36 2009 42 46
27. L.M. Prevedello, A.S. Raja, and R.D. Zane Variation in use of head computed tomography by emergency physicians Am J Med 125 2012 356 364
28. J.M. Pines, J.E. Hollander, J.A. Isserman, E.H. Chen, A.J. Dean, and F.S. Shofer The association between physician risk tolerance and imaging use in abdominal pain Am J Emerg Med 27 5 2009 552 557
29. Rohacek M, Buatsi J, Szucs-Farkas Z, Kleim B, Zimmermann H, Exadaktylos A, et al. Ordering CT pulmonary angiography to exclude pulmonary embolism: defense versus evidence in the, emergency room. Intensive Care Med 2012 Aug;38(8):1345-51.
30. A.C. Wong, T. Kowalenko, S. Roahen-Harrison, B. Smith, R.F. Maio, and R.M. Stanley A survey of emergency physicians' fear of malpractice and its association with the decision to order computed tomography scans for children with minor head trauma Pediatr Emerg Care 27 3 2011 182 185
31. I. Van der Wulp, H.A.A. Rullmann, L.P.H. Leenen, and H.F. van Stel Associations of the Emergency Severity Index triage categories with patients' vital signs at triage: a prospective observational study Emerg Med J 2010
32. I. Van der Wulp, A.J.P. Schrijvers, and H.F. van Stel Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study Emerg Med J 26 2009 506 509
33. P. Tanabe, R. Gimbel, P.R. Yarnold, D.N. Kyriacou, and J.G. Adams Reliability and validity of scores on the Emergency Severity Index version 3 Acad Emerg Med 11 2004 59 65
34. D. Tandberg, and C. Qualls Time series forecasts of emergency department patient volume, length of stay, and acuity Ann Emerg Med 23 1994 299 306
35. J.F. McBride, R.M. Wardrop III, B.E. Paxton, J. Mandrekar, and J.G. Fletcher Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure Clin Imaging 36 5 2012 455 461.e1
36. S. Puri, R. Hu, R.R. Quazi, S. Voci, P. Veazie, and R. Block Physicians' and midlevel providers' awareness of lifetime radiation-attributable cancer risk associated with commonly performed CT studies: relationship to practice behavior AJR Am J Roentgenol 199 6 2012 1328 1336
37. R.W. Gimbel, P. Fontelo, M.B. Stephens, C.H. Olsen, C. Bunt, and C.J. Ledford Radiation exposure and cost influence physician medical image decision making: a randomized controlled trial Med Care 51 7 2013 628 632
38. B.M. Baumann, E.H. Chen, A.M. Mills, L. Glaspey, N.M. Thompson, and M.K. Jones Patient perceptions of computed tomographic imaging and their understanding of radiation risk and exposure Ann Emerg Med 58 1 2011 1 7.e2
39. J.M. Horowitz, V. Yaghmai, F.H. Miller, and E.J. Russell Will CT ordering practices change if we educate residents about the potential effects of radiation exposure? Experience at a large academic medical center Acad Radiol 18 11 2011 1447 1452
40. A.S. Raja, I.K. Lp, and L.M. Prevedello Effect of computerized clinical decision support on the use and yield of CT pulmonary angiography in the emergency department Radiology 262 2 2012 468 474