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Early Imaging for Back Pain in Older Adults: Back Pain Outcomes Using Longitudinal Data (BOLD) Study 

Early Imaging for Back Pain in Older Adults: Back Pain Outcomes Using Longitudinal Data (BOLD) Study
Chapter:
Early Imaging for Back Pain in Older Adults: Back Pain Outcomes Using Longitudinal Data (BOLD) Study
Author(s):

Christoph I. Lee

DOI:
10.1093/med/9780190223700.003.0015
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date: 18 October 2019

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of early imaging for back pain in older adults. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that early imaging for new onset back pain among older adults presenting to primary care was not associated with improved patient-reported outcomes at 1-year follow-up. However, patients undergoing such early imaging had substantially higher resource use and reimbursement expenditures than those not undergoing early imaging. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

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