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RCT
ACE Report #10460
Ace Report Cover General Orthopaedics

Routine MRI referral by GP not cost-effective among patients with traumatic knee pain complaints


Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:N/A

General Practitioners Referring Adults to MR Imaging for Knee Pain: A Randomized Controlled Trial to Assess Cost-effectiveness

Radiology. 2018 Jul;288(1):170-176. doi: 10.1148/radiol.2018171383

Contributing Authors: BW Koes JA Verhaar WB van den Hout M Reijnierse PA Luijsterburg PJ Bindels NM Swart K van Oudenaarde RGHH Nelissen SMA Bierma-Zeinstra JL Bloem PR Algra

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Synopsis

356 patients who presented to primary care with traumatic knee symptoms were randomized to either receive a referral for MRI by the general practitioner, or to usual care as per the Dutch clinical guideline, with potential referral to an orthopaedic surgeon. The purpose of this study was to determine if a referral for MRI from primary care was a cost-effective treatment pathway for this patient po...

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