{"id":"https://openalex.org/W1970513232","doi":"https://doi.org/10.1097/brs.0000000000000408","title":"The Cascade of Medical Services and Associated Longitudinal Costs Due to Nonadherent Magnetic Resonance Imaging for Low Back Pain","display_name":"The Cascade of Medical Services and Associated Longitudinal Costs Due to Nonadherent Magnetic Resonance Imaging for Low Back Pain","publication_year":2014,"publication_date":"2014-05-15","ids":{"openalex":"https://openalex.org/W1970513232","doi":"https://doi.org/10.1097/brs.0000000000000408","mag":"1970513232","pmid":"https://pubmed.ncbi.nlm.nih.gov/24831502","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4105318"},"language":"en","primary_location":{"id":"doi:10.1097/brs.0000000000000408","doi":"https://doi.org/10.1097/brs.0000000000000408","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000000408","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1097/brs.0000000000000408","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110156477","display_name":"Barbara S. Webster","orcid":"https://orcid.org/0000-0002-1952-2410","observed_orcids":["https://orcid.org/0000-0002-1952-2410"]},"institutions":[{"id":"https://openalex.org/I133738476","display_name":"University of Massachusetts Lowell","ror":"https://ror.org/03hamhx47","country_code":"US","type":"education","lineage":["https://openalex.org/I133738476"]},{"id":"https://openalex.org/I30599552","display_name":"Liberty Mutual Research Institute for Safety","ror":"https://ror.org/050m4q971","country_code":"US","type":"facility","lineage":["https://openalex.org/I30599552"]},{"id":"https://openalex.org/I4405272508","display_name":"Liberty Mutual Insurance (United States)","ror":"https://ror.org/0490fqg27","country_code":"US","type":"company","lineage":["https://openalex.org/I4405272508"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Barbara S. Webster","raw_affiliation_strings":["*Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA \u2020Major Accounts Division, Helmsman Management Services LLC, Liberty Mutual Insurance, Boston, MA; and \u2021University of Massachusetts-Lowell, Lowell, MA","Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","Major Accounts Division, Helmsman Management Services LLC, Liberty Mutual Insurance, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"*Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA \u2020Major Accounts Division, Helmsman Management Services LLC, Liberty Mutual Insurance, Boston, MA; and \u2021University of Massachusetts-Lowell, Lowell, MA","institution_ids":["https://openalex.org/I133738476","https://openalex.org/I30599552","https://openalex.org/I4405272508"]},{"raw_affiliation_string":"Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","institution_ids":["https://openalex.org/I30599552"]},{"raw_affiliation_string":"Major Accounts Division, Helmsman Management Services LLC, Liberty Mutual Insurance, Boston, MA","institution_ids":["https://openalex.org/I4405272508"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052100670","display_name":"Yoon-Sun Choi","orcid":"https://orcid.org/0000-0001-5214-5701","observed_orcids":["https://orcid.org/0000-0001-5214-5701"]},"institutions":[{"id":"https://openalex.org/I30599552","display_name":"Liberty Mutual Research Institute for Safety","ror":"https://ror.org/050m4q971","country_code":"US","type":"facility","lineage":["https://openalex.org/I30599552"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"YoonSun Choi","raw_affiliation_strings":["Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","institution_ids":["https://openalex.org/I30599552"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103260415","display_name":"Ann Z. Bauer","orcid":"https://orcid.org/0000-0003-4808-2503","observed_orcids":["https://orcid.org/0000-0003-4808-2503"]},"institutions":[{"id":"https://openalex.org/I133738476","display_name":"University of Massachusetts Lowell","ror":"https://ror.org/03hamhx47","country_code":"US","type":"education","lineage":["https://openalex.org/I133738476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ann Z. Bauer","raw_affiliation_strings":["University of Massachusetts-Lowell, Lowell, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Massachusetts-Lowell, Lowell, MA","institution_ids":["https://openalex.org/I133738476"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Manuel Cifuentes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I133738476","display_name":"University of Massachusetts Lowell","ror":"https://ror.org/03hamhx47","country_code":"US","type":"education","lineage":["https://openalex.org/I133738476"]},{"id":"https://openalex.org/I30599552","display_name":"Liberty Mutual Research Institute for Safety","ror":"https://ror.org/050m4q971","country_code":"US","type":"facility","lineage":["https://openalex.org/I30599552"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Manuel Cifuentes","raw_affiliation_strings":["Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","University of Massachusetts-Lowell, Lowell, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","institution_ids":["https://openalex.org/I30599552"]},{"raw_affiliation_string":"University of Massachusetts-Lowell, Lowell, MA","institution_ids":["https://openalex.org/I133738476"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067596835","display_name":"Glenn Pransky","orcid":"https://orcid.org/0000-0002-4585-3723","observed_orcids":["https://orcid.org/0000-0002-4585-3723"]},"institutions":[{"id":"https://openalex.org/I30599552","display_name":"Liberty Mutual Research Institute for Safety","ror":"https://ror.org/050m4q971","country_code":"US","type":"facility","lineage":["https://openalex.org/I30599552"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Glenn Pransky","raw_affiliation_strings":["Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","and reprint requests to Glenn Pransky, MD, MOccH, Liberty Mutual Research Institute for Safety, 71 Frankland Rd, Hopkinton, MA 01748; E-mail: [email\u00a0protected]","E-mail: [email\u00a0protected]","reprint requests to Glenn Pransky, MD, MOccH, Liberty Mutual Research Institute for Safety, 71 Frankland Rd, Hopkinton, MA 01748"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA","institution_ids":["https://openalex.org/I30599552"]},{"raw_affiliation_string":"and reprint requests to Glenn Pransky, MD, MOccH, Liberty Mutual Research Institute for Safety, 71 Frankland Rd, Hopkinton, MA 01748; E-mail: [email\u00a0protected]","institution_ids":["https://openalex.org/I30599552"]},{"raw_affiliation_string":"E-mail: [email\u00a0protected]","institution_ids":[]},{"raw_affiliation_string":"reprint requests to Glenn Pransky, MD, MOccH, Liberty Mutual Research Institute for Safety, 71 Frankland Rd, Hopkinton, MA 01748","institution_ids":["https://openalex.org/I30599552"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5052100670","https://openalex.org/A5067596835","https://openalex.org/A5110156477"],"corresponding_institution_ids":["https://openalex.org/I133738476","https://openalex.org/I30599552","https://openalex.org/I4405272508"],"apc_list":null,"apc_paid":null,"fwci":10.5241,"has_fulltext":true,"cited_by_count":97,"citation_normalized_percentile":{"value":0.98282006,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":100},"biblio":{"volume":"39","issue":"17","first_page":"1433","last_page":"1440"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8866999745368958,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8866999745368958,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.07339999824762344,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.03269999846816063,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.9350000023841858},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging","display_name":"magnetic resonance imaging","score":0.8989999890327454},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6940000057220459},{"id":"https://openalex.org/keywords/workers-compensation","display_name":"workers' compensation","score":0.6830000281333923},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.699999988079071},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.7649999856948853},{"id":"https://openalex.org/keywords/radicular-pain","display_name":"radicular pain","score":0.781000018119812},{"id":"https://openalex.org/keywords/electromyography","display_name":"electromyography","score":0.6729999780654907},{"id":"https://openalex.org/keywords/nerve-conduction-testing","display_name":"nerve conduction testing","score":0.9779999852180481},{"id":"https://openalex.org/keywords/spine-surgery","display_name":"spinal surgery","score":0.4950000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9508821964263916},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.7607678174972534},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5552011132240295},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5101333260536194},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.5026638507843018},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4769948124885559},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.44837579131126404},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.34524261951446533},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.33924785256385803},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2918146550655365},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22184088826179504},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.08939704298973083},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004185","descriptor_name":"Disability Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009784","descriptor_name":"Occupational Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014942","descriptor_name":"Workers' Compensation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1097/brs.0000000000000408","doi":"https://doi.org/10.1097/brs.0000000000000408","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000000408","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4105318","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4105318/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4105318/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine (Phila Pa 1976)","raw_type":"Text"},{"id":"pmid:24831502","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24831502","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"Journal Article"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.812.4071","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.812.4071","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/32/b7/spne-39-1433.PMC4105318.pdf","raw_type":"text"}],"best_oa_location":{"id":"doi:10.1097/brs.0000000000000408","doi":"https://doi.org/10.1097/brs.0000000000000408","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000000408","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1970513232.pdf","grobid_xml":"https://content.openalex.org/works/W1970513232.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W9699933","https://openalex.org/W1536111430","https://openalex.org/W1605406850","https://openalex.org/W1935226883","https://openalex.org/W1972766175","https://openalex.org/W1974060074","https://openalex.org/W1981945017","https://openalex.org/W1982713039","https://openalex.org/W1988862555","https://openalex.org/W1992736447","https://openalex.org/W1995212492","https://openalex.org/W2012300663","https://openalex.org/W2015188660","https://openalex.org/W2020580424","https://openalex.org/W2023488327","https://openalex.org/W2031515876","https://openalex.org/W2033614044","https://openalex.org/W2041300654","https://openalex.org/W2045841369","https://openalex.org/W2087468944","https://openalex.org/W2093506461","https://openalex.org/W2096656874","https://openalex.org/W2097525623","https://openalex.org/W2099765281","https://openalex.org/W2117092285","https://openalex.org/W2120692748","https://openalex.org/W2124239698","https://openalex.org/W2126831105","https://openalex.org/W2132786336","https://openalex.org/W2156801967","https://openalex.org/W2169873069","https://openalex.org/W2255149025","https://openalex.org/W2322306954","https://openalex.org/W2333331134","https://openalex.org/W2338278742","https://openalex.org/W2397514427","https://openalex.org/W2404349017","https://openalex.org/W2438165929","https://openalex.org/W3176672621","https://openalex.org/W4247637568","https://openalex.org/W4293010689"],"related_works":["https://openalex.org/W7095861623","https://openalex.org/W2012300663","https://openalex.org/W2015188660","https://openalex.org/W3087770866","https://openalex.org/W1988862555","https://openalex.org/W7096590477","https://openalex.org/W2315851464","https://openalex.org/W3215943560","https://openalex.org/W2141623275","https://openalex.org/W2917936011"],"abstract_inverted_index":{"STUDY":[0],"DESIGN:":[1],"Retrospective":[2],"cohort":[3,127],"study.":[4],"OBJECTIVE:":[5],"To":[6],"compare":[7],"type,":[8],"timing,":[9],"and":[10,61,70,77,104,118,142,163,184,217,261,279,283,295,313],"longitudinal":[11],"medical":[12,73],"costs":[13,253],"incurred":[14],"after":[15,50],"adherent":[16],"versus":[17],"nonadherent":[18,81,271],"magnetic":[19],"resonance":[20],"imaging":[21],"(MRI)":[22],"for":[23,36,46,133,160,171,207,254],"work-related":[24],"low":[25,39,95],"back":[26,40,96],"pain.":[27],"SUMMARY":[28],"OF":[29,317],"BACKGROUND":[30],"DATA:":[31],"Guidelines":[32],"advise":[33],"against":[34],"MRI":[35,57,112,172,212,219,234,247,257,272],"acute":[37],"uncomplicated":[38],"pain,":[41],"but":[42],"is":[43,304],"an":[44],"option":[45],"persistent":[47],"radicular":[48],"pain":[49,97,161],"a":[51,274],"trial":[52],"of":[53,72,152,270,277],"conservative":[54],"care.":[55],"Yet,":[56],"has":[58],"become":[59],"frequent":[60],"often":[62],"nonadherent.":[63],"Few":[64],"studies":[65,156],"have":[66],"documented":[67],"the":[68,192,205,208,263],"nature":[69],"impact":[71,269],"services":[74],"(including":[75],"type":[76],"timing)":[78],"initiated":[79],"by":[80,111,120],"MRI.":[82],"METHODS:":[83],"A":[84],"longitudinal,":[85],"workers'":[86],"compensation":[87],"administrative":[88],"data":[89],"source":[90],"was":[91,136],"accessed":[92],"to":[93,175,199,228,292,298],"select":[94],"claims":[98],"filed":[99],"between":[100],"January":[101],"1,":[102],"2006":[103],"December":[105],"31,":[106],"2006.":[107],"Cases":[108],"were":[109,259],"grouped":[110],"timing":[113],"(early,":[114],"timely,":[115],"no":[116],"MRI)":[117],"subgrouped":[119],"severity":[121],"(\"less":[122],"severe,\"":[123],"\"more":[124],"severe\")":[125],"(final":[126],"=":[128],"3022).":[129],"Health":[130],"care":[131,302],"utilization":[132],"each":[134],"subgroup":[135,237,250],"evaluated":[137],"at":[138],"3,":[139],"6,":[140],"9,":[141],"12":[143],"months":[144,188],"post-MRI.":[145,287],"Multivariate":[146],"logistic":[147],"regression":[148],"models":[149],"examined":[150],"risk":[151],"receiving":[153],"subsequent":[154],"diagnostic":[155],"and/or":[157],"treatments,":[158],"adjusting":[159],"indicators":[162],"demographic":[164],"covariates.":[165],"RESULTS:":[166],"The":[167,215,232,268],"adjusted":[168,225,242],"relative":[169,226,243],"risks":[170,190,227,244],"group":[173,210],"cases":[174,238],"receive":[176,229],"electromyography,":[177],"nerve":[178],"conduction":[179],"testing,":[180],"advanced":[181],"imaging,":[182],"injections,":[183],"surgery":[185],"within":[186],"6":[187],"post-MRI":[189],"in":[191],"range":[193],"from":[194,309],"6.5":[195],"(95%":[196,201],"CI:":[197,202],"2.20-19.09)":[198],"54.9":[200],"22.12-136.21)":[203],"times":[204],"rate":[206],"referent":[209],"(no":[211],"less":[213,220,311],"severe).":[214],"timely":[216,246],"early":[218,233,256],"severe":[221,236,249],"subgroups":[222,258],"had":[223,239],"similar":[224],"most":[230,264],"services.":[231],"more":[235,248],"generally":[240],"higher":[241],"than":[245],"cases.":[251],"Medical":[252],"both":[255],"highest":[260],"increased":[262],"over":[265],"time.":[266],"CONCLUSION:":[267],"includes":[273],"wide":[275],"variety":[276],"expensive":[278],"potentially":[280],"unnecessary":[281],"services,":[282],"occurs":[284],"relatively":[285],"soon":[286],"Study":[288],"results":[289],"provide":[290],"evidence":[291],"promote":[293],"provider":[294],"patient":[296],"conversations":[297],"help":[299],"patients":[300],"choose":[301],"that":[303],"based":[305],"on":[306],"evidence,":[307],"free":[308],"harm,":[310],"costly,":[312],"truly":[314],"necessary.":[315],"LEVEL":[316],"EVIDENCE:":[318],"N/A.":[319]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":9},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":19},{"year":2020,"cited_by_count":13},{"year":2019,"cited_by_count":13},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":9}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
