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Wiener klinische Wochenschrift
Erschienen in:

01.03.2017 | editorial

Defensive medicine and overutilization of imaging—an issue of radiation protection

verfasst von: Franz Kainberger

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2017

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Auszug

Defensive medicine is a serious and prevalent challenge in modern medicine and is a major cause of overutilization of imaging, i. e., its application with a low probability to improve patient outcome. The problems are concerns of missing unexpected or rare findings and fear from litigation; other reasons are avoidance of an inaccurate diagnosis or keeping costs low. Defensive ordering of diagnostic tests may additionally lead to overdiagnosis, which is the detection of new findings not associated with a substantial impact on health which in turn may cause further unnecessary actions. …
Nächster Artikel Growing number of emergency cranial CTs in patients with head injury not justified by their clinical need
Literatur
1.
Lambert L, Foltan O, Briza J, et al. Growing number of emergency cranial CTs in patients with head injury not justified by their clinical need. Wien Klin Wochenschr. 2016; doi:10.​1007/​s00508-016-1025-6.
2.
Chen J, Majercik S, Bledsoe J, et al. The prevalence and impact of defensive medicine in the radiographic workup of the trauma patient: a pilot study. Am J Surg. 2015;210:462–7.CrossRefPubMed
3.
Tong GE, Staudenmayer K, Lin F, Hsia RY. Use of emergency department imaging in patients with minor trauma. J Surg Res. 2016;203:238–45.CrossRefPubMed
4.
Osti M, Steyrer J. A national survey of defensive medicine among orthopaedic surgeons, trauma surgeons and radiologists in Austria: evaluation of prevalence and context. J Eval Clin Pract. 2015;21:278–84.CrossRefPubMed
5.
European Commission. European Council Directive 2013/59/Euratom on basic safety standards for protection against the dangers arising from exposure to ionising radiation. Off J Eur Union. 2014;L13:1–74.
Metadaten
Titel
Defensive medicine and overutilization of imaging—an issue of radiation protection
verfasst von
Franz Kainberger
Publikationsdatum
01.03.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-016-1089-3

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