rick-bukataThe literature is absolutely packed with compelling articles and studies indicating that we order way too many CT scans.

Too many head CTs for trauma and headaches and dizziness. Too many CT pulmonary angiograms in low-risk PE patients who haven’t even had a d-dimer performed. Too many coronary CT studies in individuals with extremely low risk of CAD. Too may abdominal scans in patients with abdominal pain. Too many pan scans for trauma patients without reasonable indications.

 

altWhat some call “the art of medicine” I call an unacceptable level of physician practice variability. Electronic medical records now allow us to compare apples to apples and begin bringing over- and under-utilizers in line with the evidence.    

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