Comparative effectiveness research: Alternatives to "traditional" computed tomography use in the acute care setting

Academic Emergency Medicine

Volumn 22, Issue 12, 2015, Pages 1465-1473

  Moore, Christopher L ^a   Broder, Joshua ^h   Gunn, Martin L ^d   Bhargavan Chatfield, Mythreyi ^l   Cody, Dianna ^m   Cullison, Kevin ^b   Daniels, Brock ^c   Gans, Bradley ⁱ   Kennedy Hall, M ^d   Gaines, Barbara A ^f   Goldman, Sarah ^e   Heil, John ⁿ   Liu, Rachel ^a   Marin, Jennifer R ^f   Melnick, Edward R ^a   Novelline, Robert A ^j   Pare, Joseph ^a   Repplinger, Michael D ^g   Taylor, Richard A ^a   Sodickson, Aaron D ^k  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^e JACOBI MEDICAL CENTER   (United States)

^f UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^g UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

^h DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

ⁱ OHIO STATE UNIVERSITY   (United States)

^j MASSACHUSETTS GENERAL HOSPITAL   (United States)

^k BRIGHAM AND WOMEN S HOSPITAL   (United States)

^l AMERICAN COLLEGE OF RADIOLOGY   (United States)

^m UNIVERSITY OF TEXAS   (United States)

ⁿ Medint Holdings   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

CONTRAST MEDIUM;

COMPARATIVE EFFECTIVENESS; COMPUTER ASSISTED TOMOGRAPHY; CONFERENCE PAPER; DELPHI STUDY; DIAGNOSTIC ACCURACY; EMERGENCY CARE; EMERGENCY PHYSICIAN; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; HEAD INJURY; HUMAN; INCIDENTAL FINDING; PATIENT CARE; PRIORITY JOURNAL; RADIATION HAZARD; RADIOLOGIST; SPINE INJURY; THORAX RADIOGRAPHY; WHOLE BODY CT; CONSENSUS DEVELOPMENT; COST BENEFIT ANALYSIS; EMERGENCY MEDICINE; HEALTH SERVICES RESEARCH; HOSPITAL EMERGENCY SERVICE; ORGANIZATION AND MANAGEMENT; STANDARDS; UTILIZATION; X-RAY COMPUTED TOMOGRAPHY;

COMPARATIVE EFFECTIVENESS RESEARCH; CONSENSUS DEVELOPMENT CONFERENCES AS TOPIC; COST-BENEFIT ANALYSIS; DELPHI TECHNIQUE; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES RESEARCH; HUMANS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84956614015     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/acem.12831     Document Type: Conference Paper

References (63)

1. Levin DC, Rao VM, Parker L,. The recent downturn in utilization of CT: the start of a new trend? J Am Coll Radiol 2012; 9: 795-8.
2. Broder J, Warshauer DM,. Increasing utilization of computed tomography in the adult emergency department, 2000-2005. Emerg Radiol 2006; 13: 25-30.
3. Barrett TW, Schriger DL,. Computed tomography imaging in the emergency department: benefits, risks and risk ratios. Ann Emerg Med 2011; 58: 463-4.
4. Agency for Healthcare Research and Quality. What is Comparative Effectiveness Research. Available at: http://effectivehealthcare.ahrq.gov/index.cfm/what-is-comparative-effectiveness-research1/. Accessed Sep 25, 2015.
5. Hendee WR, Becker GJ, Borgstede JP, et al., Addressing overutilization in medical imaging. Radiology 2010; 257: 240-5.
6. Griffey RT, Jeffe DB, Bailey T,. Emergency physicians' attitudes and preferences regarding computed tomography, radiation exposure, and imaging decision support. Acad Emerg Med 2014; 21: 768-77.
7. Sistrom CL,. The appropriateness of imaging: a comprehensive conceptual framework. Radiology 2009; 251: 637-49.
8. Bailitz J, Starr F, Beecroft M, et al., CT should replace three-view radiographs as the initial screening test in patients at high, moderate, and low risk for blunt cervical spine injury: a prospective comparison. J Trauma 2009; 66: 1605-9.
9. Hoffmann U, Truong QA, Schoenfeld DA, et al., Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med 2012; 367: 299-308.
10. Pines JM,. Trends in the rates of radiography use and important diagnoses in emergency department patients with abdominal pain. Med Care 2009; 47: 782-6.
11. Abujudeh HH, Kaewlai R, McMahon PM, et al., Abdominopelvic CT increases diagnostic certainty and guides management decisions: a prospective investigation of 584 patients in a large academic medical center. Am J Roentgenol 2011; 196: 238-43.
12. Kocher KE, Meurer WJ, Desmond JS, Nallamothu BK,. Effect of testing and treatment on emergency department length of stay using a national database. Acad Emerg Med 2012; 19: 525-34.
13. Brenner DJ, Hall EJ,. Computed tomography-an increasing source of radiation exposure. N Engl J Med 2007; 357: 2277-84.
14. Sodickson A, Baeyens PF, Andriole KP, Prevedello LM, Nawfel RD, Hanson R, Khorasani R,. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT in adults. Radiology 2009; 251: 175-84.
15. National Research Council. Health Risks From Exposure to Low Levels of Ionizing Radiation: BEIR VII-Phase 2 (Executive Summary). Available at: http://www.nap.edu/openbook.php?record-id=11340&page=1. Accessed Sep 24, 2015.
16. Berrington de González A, Mahesh M, Kim KP, et al., Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009; 169: 2071-7.
17. Doss M,. Linear no-threshold model may not be appropriate for estimating cancer risk from CT. Radiology 2014; 270: 307-8.
18. Mathews JD, Forsythe AV, Brady Z, et al., Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 2013; 346: f2360.
19. Pearce MS, Salotti JA, Little MP, et al., Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 2012; 6736: 1-7.
20. Jin F, Linet MS, Zheng W, Clemens J, Mills J, Gao Y,. Diagnostic X-ray and ultrasound exposure and risk of childhood cancer. Br J Cancer 1994; 70: 531-6.
21. Trattner S, Pearson GD, Chin C, et al., Standardization and optimization of CT protocols to achieve low dose. J Am Coll Radiol 2014; 11: 271-8.
22. Newman-Toker DE, McDonald KM, Meltzer DO,. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf 2013; 22 (Suppl 2): ii11-20.
23. Carrier M, Righini M, Wells PS, et al., Subsegmental pulmonary embolism diagnosed by computed tomography: incidence and clinical implications. A systematic review and meta-analysis of the management outcome studies. J Thromb Haemost 2010; 8: 1716-22.
24. Samim M, Goss S, Luty S, Weinreb J, Moore C,. Incidental findings on CT for suspected renal colic in emergency department patients: prevalence and types in 5,383 consecutive examinations. J Am Coll Radiol 2015; 12: 63-9.
25. Sierink JC, Saltzherr TP, Russchen MJ, et al., Incidental findings on total-body CT scans in trauma patients. Injury 2014; 45: 840-4.
26. Fletcher RH, Pignone M,. Extracolonic findings with computed tomographic colonography: asset or liability? Arch Intern Med 2008; 168: 685-6.
27. Black WC, Welch HG,. Advances in diagnostic imaging and overestimations of disease prevalence and the benefits of therapy. N Engl J Med 1993; 328: 1237-43.
28. Stone JH,. Incidentalomas-clinical correlation and translational science required. N Engl J Med 2006; 354: 2748-9.
29. Brody AS, Frush DP, Huda W, Brent RL,. Radiation risk to children from computed tomography. Pediatrics 2007; 120: 677-82.
30. Tocchio S, Kline-Fath B, Kanal E, Schmithorst VJ, Panigrahy A,. MRI evaluation and safety in the developing brain. Semin Perinatol 2015; 39: 73-104.
31. Marin JR, Weaver MD, Barnato AE, Yabes JG, Yealy DM, Roberts MS,. Variation in emergency department head computed tomography use for pediatric head trauma. Acad Emerg Med 2014; 21: 987-95.
32. Cohen AR, Caruso P, Duhaime AC, Klig JE,. Feasibility of "rapid" magnetic resonance imaging in pediatric acute head injury. Am J Emerg Med 2015; 33: 887-90.
33. Rosen MP, Ding A, Blake MA, et al., ACR Appropriateness Criteria® right lower quadrant pain-suspected appendicitis. J Am Coll Radiol 2011; 8: 749-55.
34. Bachur RG, Callahan MJ, Monuteaux MC, Rangel SJ,. Integration of ultrasound findings and a clinical score in the diagnostic evaluation of pediatric appendicitis. J Pediatr 2015; 166: 1134-9.
35. Nielsen JW, Boomer L, Kurtovic K, et al., Reducing computed tomography scans for appendicitis by introduction of a standardized and validated ultrasonography report template. J Pediatr Surg 2015; 50: 144-8.
36. Niemann T, Kollmann T, Bongartz G,. Diagnostic performance of low-dose CT for the detection of urolithiasis: a meta-analysis. Am J Roentgenol 2008; 191: 396-401.
37. Kim S, Lee YJ, Kim KP, et al., Low-dose abdominal CT for evaluating suspected appendicitis. N Engl J Med 2012; 366: 1596-605.
38. Mulkens TH, Marchal P, Daineffe S, et al., Comparison of low-dose with standard-dose multidetector CT in cervical spine trauma. Am J Neuroradiol 2007; 28: 1444-50.
39. Silva AC, Morse BG, Hara AK, Paden RG, Hongo N, Pavlicek W,. Dual-energy (spectral) CT: applications in abdominal imaging. Radiographics 2011; 31: 1031-46.
40. Levenson RB, Camacho MA, Horn E, Saghir A, McGillicuddy D, Sanchez LD,. Eliminating routine oral contrast use for CT in the emergency department: impact on patient throughput and diagnosis. Emerg Radiol 2012; 19: 513-7.
41. McDonald JS, McDonald RJ, Comin J, et al., Frequency of acute kidney injury following intravenous contrast medium administration: a systematic review and meta-analysis. Radiology 2013; 267: 119-28.
42. Kocher KE, Meurer WJ, Fazel R, Scott PA, Krumholz HM, Nallamothu BK,. National trends in use of computed tomography in the emergency department. Ann Emerg Med 2011; 58: 452-62.
43. Litt HI, Gatsonis C, Snyder B, et al., CT angiography for safe discharge of patients with possible acute coronary syndromes. Cardiol Rev 2012; 28: 1393-403.
44. Hustey FM, Meldon SW, Banet GA, Gerson LW, Blanda M, Lewis LM,. The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med 2005; 23: 259-65.
45. Gardner CS, Jaffe TA, Nelson RC,. Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain. Abdom Imaging 2015; 40: 2877-82.
46. Smith-Bindman R, Aubin C, Bailitz J, et al., Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med 2014; 371: 1100-10.
47. Lukasiewicz A, Bhargavan-Chatfield M, Coombs LP, et al., Radiation dose index of renal colic protocol CT studies in the United States: a report from the American College of Radiology National Radiology Data Registry. Radiology 2014; 271: 445-51.
48. Moore CL, Bomann S, Daniels B, et al., Derivation and validation of a clinical prediction rule for uncomplicated ureteral stone-the STONE score: retrospective and prospective observational cohort studies [abstract]. BMJ 2014; 348: g2191.
49. Korley FK, Pham JC, Kirsch TD,. Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998-2007. JAMA 2010; 304: 1465-71.
50. Heller MT, Kanal E, Almusa O, et al., Utility of additional CT examinations driven by completion of a standard trauma imaging protocol in patients transferred for minor trauma. Emerg Radiol 2014; 21: 341-7.
51. Smith CM, Mason S,. The use of whole-body CT for trauma patients: survey of UK emergency departments. Emerg Med J 2012; 29: 630-4.
52. Tillou A, Gupta M, Baraff LJ, et al., Is the use of pan-computed tomography for blunt trauma justified? A prospective evaluation J Trauma 2009; 67: 779-87.
53. Salim A, Sangthong B, Martin M, Brown C, Plurad D, Demetriades D,. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury. Arch Surg 2006; 141: 468-75.
54. Healy DA, Hegarty A, Feeley I, Clarke-Moloney M, Grace PA, Walsh SR,. Systematic review and meta-analysis of routine total body CT compared with selective CT in trauma patients. Emerg Med J 2014; 31: 101-8.
55. Jiang L, Ma Y, Jiang S, et al., Comparison of whole-body computed tomography vs selective radiological imaging on outcomes in major trauma patients: a meta-analysis. Scand J Trauma Resusc Emerg Med 2014; 22: 54.
56. Stiell IG, Clement CM, Rowe BH, et al., Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury. JAMA 2005; 294: 1511-8.
57. Kuppermann N, Holmes JF, Dayan PS, et al., Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 2009; 374: 1160-70.
58. Sadro CT, Sandstrom CK, Verma N, Gunn ML,. Geriatric trauma: a radiologist's guide to imaging trauma patients aged 65 years and older. Radiographics 2015; 35: 1-23.
59. Stiell IG, Clement CM, McKnight RD, et al., The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med 2003; 349: 2510-8.
60. Goode T, Young A, Wilson SP, Katzen J, Wolfe LG, Duane TM,. Evaluation of cervical spine fracture in the elderly: can we trust our physical examination? Am Surg 2014; 80: 182-4.
61. Rodriguez RM, Hendey GW, Mower W, et al., Derivation of a decision instrument for selective chest radiography in blunt trauma. J Trauma 2011; 71: 549-53.
62. Moore CL, Copel JA,. Point-of-care ultrasonography. N Engl J Med 2011; 364: 749-57.
63. Chalela JA, Kidwell CS, Nentwich LM, et al., Magnetic resonance imaging and computed tomgraphy in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet 2007; 369: 293-8.