{"id":"https://openalex.org/W2045841369","doi":"https://doi.org/10.1377/hlthaff.28.6.w1133","title":"Magnetic Resonance Imaging And Low Back Pain Care For Medicare Patients","display_name":"Magnetic Resonance Imaging And Low Back Pain Care For Medicare Patients","publication_year":2009,"publication_date":"2009-01-01","ids":{"openalex":"https://openalex.org/W2045841369","doi":"https://doi.org/10.1377/hlthaff.28.6.w1133","mag":"2045841369","pmid":"https://pubmed.ncbi.nlm.nih.gov/19828486"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.28.6.w1133","doi":"https://doi.org/10.1377/hlthaff.28.6.w1133","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.28.6.w1133","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070960029","display_name":"Jacqueline Baras Shreibati","orcid":"https://orcid.org/0000-0002-1410-9432","observed_orcids":["https://orcid.org/0000-0002-1410-9432"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacqueline D. Baras","raw_affiliation_strings":["Jacqueline Baras () is a medical student at Stanford University's School of Medicine in Stanford, California. Laurence Baker is a professor of health research and policy at Stanford"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jacqueline Baras () is a medical student at Stanford University's School of Medicine in Stanford, California. Laurence Baker is a professor of health research and policy at Stanford","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048757486","display_name":"Laurence C. Baker","orcid":"https://orcid.org/0000-0001-5032-794X","observed_orcids":["https://orcid.org/0000-0001-5032-794X"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laurence C. Baker","raw_affiliation_strings":["Jacqueline Baras () is a medical student at Stanford University's School of Medicine in Stanford, California. Laurence Baker is a professor of health research and policy at Stanford"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jacqueline Baras () is a medical student at Stanford University's School of Medicine in Stanford, California. Laurence Baker is a professor of health research and policy at Stanford","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":8.9529,"has_fulltext":false,"cited_by_count":32,"citation_normalized_percentile":{"value":0.97296945,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"28","issue":"Supplement 1","first_page":"w1133","last_page":"w1140"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.4961000084877014,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.4961000084877014,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.42579999566078186,"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/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.060600001364946365,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"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/magnetic-resonance-imaging","display_name":"magnetic resonance imaging","score":0.9869999885559082},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.9990000128746033},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.8009999990463257},{"id":"https://openalex.org/keywords/fee-for-service","display_name":"fee-for-service","score":0.7590000033378601},{"id":"https://openalex.org/keywords/back-surgery","display_name":"back surgery","score":0.6850000023841858},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.7649999856948853},{"id":"https://openalex.org/keywords/overuse-of-imaging","display_name":"overuse of imaging","score":0.6029999852180481},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.3630000054836273}],"concepts":[{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.8597317337989807},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7587381601333618},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.5256332755088806},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.4965105652809143},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4517204463481903},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.34366950392723083},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1839328110218048},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.09203225374221802},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","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":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"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":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013514","descriptor_name":"Surgical Procedures, Operative","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","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":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.28.6.w1133","doi":"https://doi.org/10.1377/hlthaff.28.6.w1133","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.28.6.w1133","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:19828486","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19828486","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":"Health affairs (Project Hope)","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1968041070","https://openalex.org/W1989134053","https://openalex.org/W1993585602","https://openalex.org/W2008935739","https://openalex.org/W2020580424","https://openalex.org/W2032668796","https://openalex.org/W2035664125","https://openalex.org/W2048338239","https://openalex.org/W2057780602","https://openalex.org/W2087468944","https://openalex.org/W2097525623","https://openalex.org/W2098487795","https://openalex.org/W2101857176","https://openalex.org/W2124239698","https://openalex.org/W2127733224","https://openalex.org/W2129327240","https://openalex.org/W2156489518","https://openalex.org/W2160714335","https://openalex.org/W2338278742","https://openalex.org/W3021937808","https://openalex.org/W3121978178","https://openalex.org/W3176672621","https://openalex.org/W4247637568"],"related_works":["https://openalex.org/W3000808692","https://openalex.org/W1935226883","https://openalex.org/W4205769810","https://openalex.org/W1987398292","https://openalex.org/W2561620494","https://openalex.org/W2115748780","https://openalex.org/W2342705021","https://openalex.org/W3087770866","https://openalex.org/W4245319640","https://openalex.org/W2141623275"],"abstract_inverted_index":{"Magnetic":[0],"resonance":[1],"imaging":[2],"(MRI)":[3],"is":[4,67],"a":[5],"technology":[6],"frequently":[7],"used":[8],"to":[9,56,75],"evaluate":[10],"low":[11,44,61],"back":[12,45,62],"pain,":[13],"despite":[14],"evidence":[15],"that":[16,49],"challenges":[17],"the":[18,24,32,77],"usefulness":[19],"of":[20,59],"routine":[21],"MRI":[22,35,52,63],"and":[23,37,64,69],"surgical":[25],"interventions":[26],"it":[27],"may":[28],"trigger.":[29],"We":[30,47],"analyze":[31],"relationship":[33],"between":[34],"supply":[36,53],"care":[38],"for":[39,79],"fee-for-service":[40],"Medicare":[41],"patients":[42],"with":[43],"pain.":[46],"find":[48],"increases":[50],"in":[51],"are":[54],"related":[55],"higher":[57],"use":[58],"both":[60],"surgery.":[65],"This":[66],"worrisome,":[68],"careful":[70],"attention":[71],"should":[72],"be":[73],"paid":[74],"assessing":[76],"outcomes":[78],"patients.":[80]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":6}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}