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Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRIMRA Tests
Joint Authors
Matsumura, Shinji
Kotani, Kazuhiko
Fukuhara, Shunichi
Bito, Seiji
Source
International Journal of Family Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The purpose of the study is to examine whether, among patients who visited hospitals and underwent brain MRI or MRA scan tests, there was a relationship between the existence of clinically significant abnormal findings and the relevance of primary care physicians’ referrals.
A case-control study was carried out at six teaching hospitals in Japan.
We identified cases with significant abnormal MRI/MRA findings from radiologists’ reports based on certain explicit criteria and controls with outpatients who underwent MRI/MRA scans but did not have stroke.
We also collected clinical data independently from medical records.
The findings of 156 cases and 721 controls were collected for the analysis.
A multivariate analysis adjusted by age group, sex, and the number of comorbidity factors showed that those who had visited the hospitals after referral were more likely to have significant abnormal findings in their MRI/MRA scan results (odds ratio [OR] = 1.6, 95% CI: 1.1 to 2.4).
The present study suggests that referral from gatekeepers such as primary care physicians is effective in determining the appropriate use of brain MRI/MRA tests for hospital outpatients.
American Psychological Association (APA)
Bito, Seiji& Matsumura, Shinji& Kotani, Kazuhiko& Fukuhara, Shunichi. 2014. Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRIMRA Tests. International Journal of Family Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-489156
Modern Language Association (MLA)
Bito, Seiji…[et al.]. Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRIMRA Tests. International Journal of Family Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-489156
American Medical Association (AMA)
Bito, Seiji& Matsumura, Shinji& Kotani, Kazuhiko& Fukuhara, Shunichi. Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRIMRA Tests. International Journal of Family Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-489156
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489156