Review: Immediate routine lumbar-spine imaging does not improve clinical outcomes in low-back pain

Timothy S. Carey MD MPH

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Review: Immediate routine lumbar-spine imaging does not improve clinical outcomes in low-back pain

机译：综述：即时常规腰椎成像不能改善下腰痛的临床疗效

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QuestionnnIn patients with low-back pain and no serious underlying condition, does immediate routine lumbar-spine imaging improve clinical outcomes more than usual care without immediate imaging? nnReview scopennIncluded studies compared immediate routine lumbar imaging with usual clinical care without immediate imaging in patients with low-back pain (acute or chronic) and without indications of serious underlying conditions. Outcomes were change in scores for pain, function, mental health, and quality of life. nnReview methodsnnMEDLINE (Aug 2008), Cochrane Central Register of Controlled Trials (Issue 3, 2008), and references were searched for randomized controlled trials (RCTs). 6 RCTs (n = 1804) met the selection criteria. 4 trials reported adequate concealment of allocation, and 1 trial had blinded outcome assessment. The imaging method used was radiography in 4 RCTs and magnetic resonance imaging (MRI) or computed tomography (CT) in 2 RCTs. Duration of follow-up ranged from 3 weeks to 2 years.

机译：在腰背痛且无严重潜在疾病的患者中，立即进行常规腰椎成像是否比不进行立即成像的常规治疗更能改善临床效果？ nn回顾范围nn纳入的研究比较了腰背痛（急性或慢性）患者的立即常规腰椎影像学检查与常规临床护理而不进行立即影像学检查，并且没有严重的基础疾病迹象。结果是疼痛，功能，心理健康和生活质量得分的变化。 nn综述方法nnMEDLINE（2008年8月），Cochrane对照试验中央注册簿（2008年第3期）和参考文献进行了随机对照试验（RCT）的检索。 6个RCT（n = 1804）符合选择标准。 4项试验报告隐藏了足够的分配，1项试验进行了盲目的结果评估。所使用的成像方法是在4个RCT中进行放射线照相，在2个RCT中进行磁共振成像（MRI）或计算机断层扫描（CT）。随访时间从3周到2年不等。

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《ACP Journal Club》 |2009年第6期|p.7-7|共1页
作者
Timothy S. Carey MD MPH;
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Cecil G. Sheps Center for Health Services Research, University of North CarolinaChapel Hill, North Carolina, USA;

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Review: Immediate routine lumbar-spine imaging does not improve clinical outcomes in low-back pain

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