Table 048 Summary of economic evidence related to imaging in patients with LBP Reason for Study ID Study type Country Perspective Setting Population Intervention Comparator Outcomes imaging Imaging to Hollingworth C/E analysis US Healthcare Primary care Patients with Rapid MRI X-ray ICER exclude 2003 based on a LBP referred cancer Markov for imaging to model exclude cancer as source of pain Cost per Joines 2001 Modelled US Healthcare Primary care Patients with 11 different Diagnostic patient C/E analysis LBP and ‘red diagnostic strategies were Cost per case flags’ for strategies that compared found cancer considered against each Incremental clinical findings, other cost per ESR, and X-ray additional prior to imaging case found (MRI or bone scan) and biopsy Imaging to Webster 2013 Cost analysis US Healthcare Workers Claimants with Early MRI for No early MRI for Total medical assess based on a compensation at least 1 day suspected suspected costs post-MRI suspected of radiculopathy radiculopathy radiculopathy cohort compensated study lost time and at least 1 year of job tenure for LBP Imaging to Graves 2014 Cost analysis US Healthcare Any Workers with Adherence to Early MRI Cost ratio assess LBP based on a new guidelines for prospective occupational MRI cohort study LBP claims
Table 048 Summary of economic evidence related to imaging in patients with LBP Reason for imaging Study ID Study type Country Perspective Setting Population Intervention Comparator Outcomes Imaging to exclude cancer Hollingworth 2003 C/E analysis based on a Markov model US Healthcare Primary care Patients with LBP referred for imaging to exclude cancer as source of pain Rapid MRI X-ray ICER Joines 2001 Modelled C/E analysis US Healthcare Primary care Patients with LBP and ‘red flags’ for cancer 11 different diagnostic strategies that considered clinical findings, ESR, and X-ray prior to imaging (MRI or bone scan) and biopsy Diagnostic strategies were compared against each other Cost per patient Cost per case found Incremental cost per additional case found Imaging to assess suspected radiculopathy Webster 2013 Cost analysis based on a cohort study US Healthcare Workers compensation Claimants with at least 1 day of compensated lost time and at least 1 year of job tenure for LBP Early MRI for suspected radiculopathy No early MRI for suspected radiculopathy Total medical costs post-MRI Imaging to assess LBP Graves 2014 Cost analysis based on a prospective cohort study US Healthcare Any Workers with new occupational LBP claims Adherence to guidelines for MRI Early MRI Cost ratio