USF-LVHN SELECT
Comparing Outcomes of Musculoskeletal Radiographs from In-Person and Telemedicine Primary Care Cohorts, April 2019-June 2021.
Publication/Presentation Date
9-13-2023
Abstract
PURPOSE: Musculoskeletal conditions are a common reason for primary care visits, and they are being increasingly addressed at televisits. We therefore examined outcomes of musculoskeletal radiographs ordered at in-person and telemedicine primary care visits, which have implications for patient care and the economic impact of telemedicine.
METHODS: We performed a retrospective cohort study of musculoskeletal radiograph orders placed April 1, 2019-March 31, 2021 at a major academic health system. Radiology reports were classified as normal or abnormal based on the radiologist's impression. Findings were compared using c
RESULTS: The main outcome was radiographic abnormalities. A secondary outcome was the effect of social determinants of health and medical comorbidities on telemedicine utilization. A total of 1580 radiographs were reviewed. Compared with televisits occurring after onset of the SARS-Cov2-19 pandemic, radiographs ordered at in-person visits had higher odds of being abnormal (OR 2.51, 95% CI 1.33-4.75;
CONCLUSIONS: After the onset of the SARS-Cov2-19 pandemic, radiographs ordered at in-person visits had higher odds of being abnormal compared with televisits. These findings indicate that prudence should be applied to ordering musculoskeletal radiographs in telemedicine encounters.
ISSN
1558-7118
Published In/Presented At
Petrilli, J., Guth, T., & Coughlin, E. (2023). Comparing Outcomes of Musculoskeletal Radiographs from In-Person and Telemedicine Primary Care Cohorts, April 2019-June 2021. Journal of the American Board of Family Medicine : JABFM, jabfm.2023.230094R1. Advance online publication. https://doi.org/10.3122/jabfm.2023.230094R1
Disciplines
Medical Education | Medicine and Health Sciences
PubMedID
37704390
Department(s)
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students
Document Type
Article