Back Pain? Hold the MRI, New Research Says
Older adults who had spine imaging within six weeks of an initial primary care visit for back pain did not have better outcomes one year later when compared with those who did not have early imaging, according to a recent AHRQ-funded study. Patients who had early imaging had substantially higher health care use and costs than those who did not undergo early imaging, the study said. Researchers examined data from 5,239 patients age 65 years and older who went to primary- or urgent-care facilities at three U.S. health care systems for back pain over a two-year period. The study and abstract, “Association of Early Imaging for Back Pain with Clinical Outcomes in Older Adults,” was published in the March 17 issue of the Journal of the American Medical Association.
JAMA. 2015 Mar 17;313(11):1143-53. doi: 10.1001/jama.2015.1871.
Association of early imaging for back pain with clinical outcomes in older adults.
Jarvik JG1, Gold LS2, Comstock BA3, Heagerty PJ3, Rundell SD4, Turner JA5, Avins AL6, Bauer Z7, Bresnahan BW7, Friedly JL4, James K8, Kessler L9,Nedeljkovic SS10, Nerenz DR11, Shi X12, Sullivan SD13, Chan L14, Schwalb JM15, Deyo RA16.
DESIGN, SETTING, AND PARTICIPANTS:
MAIN OUTCOME AND MEASURES:
CONCLUSIONS AND RELEVANCE:
- [PubMed - indexed for MEDLINE]