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Wiener klinische Wochenschrift

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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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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

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.

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

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

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

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.

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

Springer Medizin Österreich

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