How common is imaging for low back pain in primary and emergency care? Systematic review and meta-analysis of over 4 million imaging requests across 21 years

A Downie, M Hancock, H Jenkins… - British journal of sports …, 2020 - bjsm.bmj.com
Objectives To (1) estimate the proportion of patients seeking care for low back pain (LBP)
who are imaged and (2) explore trends in the proportion of patients who received diagnostic …

Imaging for low back pain: is clinical use consistent with guidelines? A systematic review and meta-analysis

HJ Jenkins, AS Downie, CG Maher, NA Moloney… - The Spine Journal, 2018 - Elsevier
Abstract Background Context The problem of imaging patients with low back pain (LBP)
when it is not indicated is well recognized. The converse is also possible, although rarely …

A systematic review of the effectiveness of mass media campaigns for the management of low back pain

A Suman, S Armijo-Olivo, S Deshpande… - Disability and …, 2021 - Taylor & Francis
Purpose To synthesize evidence on the effectiveness of mass media campaigns for the
management of LBP on beliefs of the general public and health care providers, LBP-related …

Barriers and facilitators to reduce low-value care: a qualitative evidence synthesis

SA van Dulmen, CA Naaktgeboren, P Heus… - BMJ open, 2020 - bmjopen.bmj.com
Objective To assess barriers and facilitators to de-implementation. Design A qualitative
evidence synthesis with a framework analysis. Data sources Medline, Embase, Cochrane …

[HTML][HTML] Using behaviour change theory and preliminary testing to develop an implementation intervention to reduce imaging for low back pain

HJ Jenkins, NA Moloney, SD French, CG Maher… - BMC health services …, 2018 - Springer
Background Imaging is overused in the management of low back pain (LBP). Interventions
designed to decrease non-indicated imaging have predominantly targeted practitioner …

Treating, fast and slow: Americans' understanding of and responses to low‐value care

M Schlesinger, R Grob - The Milbank Quarterly, 2017 - Wiley Online Library
Methods: We use a mixed-methods design incorporating (1) 8 focus groups exploring
Americans' understanding of and language for low-value care,(2) 48 intensive interviews …

[HTML][HTML] A review of empirical analyses of disinvestment initiatives

JD Chambers, MN Salem, BN D'Cruz, P Subedi… - Value in Health, 2017 - Elsevier
Background Disinvesting in low-value health care services provides opportunities for
investment in higher value care and thus an increase in health care efficiency. Objectives To …

[HTML][HTML] Defining and measuring imaging appropriateness in low back pain studies: a scoping review

M Yates, CB Oliveira, JB Galloway, CG Maher - European Spine Journal, 2020 - Springer
Purpose Patients with low back pain (LBP) rarely have serious underlying pathology but
frequently undergo inappropriate imaging. A range of guidelines and red flag features are …

How do Swiss general practitioners agree with and report adhering to a top-five list of unnecessary tests and treatments? Results of a cross-sectional survey

K Selby, J Cornuz, C Cohidon… - European Journal of …, 2018 - Taylor & Francis
Abstract Background: In 2014, the 'Smarter Medicine'campaign released a top five list of
unnecessary tests and treatments in Swiss primary care, such as imaging for acute low-back …

[HTML][HTML] Measures used to assess the impact of interventions to reduce low-value care: a systematic review

JK Maratt, EA Kerr, ML Klamerus, SE Lohman… - Journal of General …, 2019 - Springer
Importance Studies of interventions to reduce low-value care are increasingly common.
However, little is known about how the effects of such interventions are measured. Objective …