Choosing Wisely: Highest‐cost tests in outpatient neurology
- 11 February 2013
- journal article
- research article
- Published by Wiley in Annals of Neurology
- Vol. 73 (5), 679-683
- https://doi.org/10.1002/ana.23865
Abstract
Identifying the tests/procedures ordered by neurologists that contribute most to health care expenditures is a critical step in the process of creating the neurology top 5 list for the Choosing Wisely initiative. Using data from the 2007–2010 National Ambulatory Care Medical Survey, we found that $13.3 billion (95% confidence interval = $10.1–$16.5 billion) was spent on tests ordered at neurologist visits. The tests/procedures with the highest expenditures were magnetic resonance imaging (MRI; 51% of total expenditures; $7.5 billion), electromyography (EMG; 20% of expenditures; $2.6 billion), and electroencephalography (EEG; 8% of expenditures; $1.1 billion). MRI, EMG, and EEG should receive close scrutiny in the development of the neurology top 5 list. Ann Neurol 2013;73:679–683This publication has 4 references indexed in Scilit:
- Eliminating Waste in US Health CareJAMA, 2012
- “Top 5” Lists Top $5 BillionArchives of Internal Medicine, 2011
- The “Top 5” Lists in Primary CareArchives of Internal Medicine, 2011
- Medicine's Ethical Responsibility for Health Care Reform — The Top Five ListThe New England Journal of Medicine, 2010