Skip Navigation
Menu
ACP Journal Club |16 June 2009

Review: Immediate routine lumbar-spine imaging does not improve clinical outcomes in low-back pain

Timothy S. Carey, MD, MPH

Article, Author, and Disclosure Information
FULL TEXT
Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373:463-72. 19200918

GIM/FP/GP:

Rheumatology:

Chou and colleagues present an elegant literature synthesis comparing the clinical outcomes of routine early imaging with those of usual care in patients with low-back pain. The presence of randomization in the included studies and use of clinical outcomes of pain and functioning, rather than intermediate outcomes of sensitivity or receiver-operating characteristic analyses, reinforce the findings.
No statistically significant differences were found in the meta-analysis or meta-regression. The clinical literature and multiple professional society guidelines on this topic...
FULL TEXT
PDF
Not Available
Citations
Citation

Carey TS. Review: Immediate routine lumbar-spine imaging does not improve clinical outcomes in low-back pain. Ann Intern Med. 2009;150:JC6–7. doi: 10.7326/0003-4819-150-12-200906160-02007

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 2009;150(12):JC6-7.

DOI: 10.7326/0003-4819-150-12-200906160-02007

0 Citations

Related Articles
Patterns of Ordering Diagnostic Tests for Patients with Acute Low Back Pain
Annals of Internal Medicine; 125 (10): 807-814
Spinal Manipulation for Low-Back Pain
Annals of Internal Medicine; 117 (7): 590-598
Diagnostic Imaging Procedures for the Lumbar Spine
Annals of Internal Medicine; 111 (11): 865-867
Measuring Patients' Expectations and Requests
Annals of Internal Medicine; 134 (9_Part_2): 881-888
View MoreView Less

Journal Club
IV prochlorperazine + diphenhydramine improved migraine pain relief more than IV hydromorphone in the ED
Annals of Internal Medicine; 168 (6): JC28
Guideline: Experts recommend a single dose of oral steroids for pain relief in acute sore throat
Annals of Internal Medicine; 168 (2): JC2
An online exercise program plus automated coping skills training improved pain and function in chronic knee pain
Annals of Internal Medicine; 166 (12): JC67
In patients in the emergency department with acute pain, 10, 15, and 30 mg of ketorolac did not differ for pain relief
Annals of Internal Medicine; 166 (8): JC44
View MoreView Less

Related Point of Care
Low Back Pain
Annals of Internal Medicine; 160 (11): ITC6-1
Osteoarthritis
Annals of Internal Medicine; 147 (3): ITC8-1
Sickle Cell Disease
Annals of Internal Medicine; 155 (5): ITC3-1
Giant Cell Arteritis
Annals of Internal Medicine; 165 (9): ITC65-ITC80
View MoreView Less

Related Topics
Back Pain
Prevention/Screening
Rheumatology

Back Pain, Prevention/Screening, Rheumatology.

PubMed Articles
Contrast-enhanced ultrasound approach to the diagnosis of focal liver lesions: the importance of washout.
Ultrasonography 2019.
View More

Results provided by: PubMed

CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×