Title
Non-cost-effective tests in patients with unspecified lumbalgia in a referential hospital
Other title
Exámenes no Costo-Efectivos En Pacientes Con Lumbalgia Inespecífica en un Hospital Referencial
Date Issued
01 January 2021
Access level
open access
Resource Type
journal article
Author(s)
Vásquez-Chacón M.
Díaz-Vélez C.
Publisher(s)
Fundacion para la difusion neurologica en Ecuador - FUNDINE
Abstract
Introduction: Low back pain has become a serious health problem due to its high frequency and social, labor and economic impact. 90% of them correspond to non-specific low back pain, and in them routine examinations have proved to be non-cost-effective. Objective: To identify the frequency of the use of non-cost-effective tests in patients with a diagnosis of non-specific low back pain treated at The Almanzor Aguinaga Asenjo National Hospital, in 2014-2015. Material and methods: Cross-sectional descriptive study in patients aged 18 to 49 years with a diagnosis of non-specific low back pain (ICD-10 M54.5) attended by an outpatient clinic at The Almanzor Aguinaga Asenjo National Hospital in 2014-2015. Census sampling was used, including a clinical history of patients without a serious or specific underlying condition or who did not show any signs of alarm to suspect them. Excluded psychiatric comorbidities or fibromyalgia, obtaining 177 patients. A collection form validated by experts was used. The data was analyzed with SPSS v.22. Results: A frequency of non-cost-effective exams of 53,11% was found. The occupations with the highest physical load (60,64%) and the clinical services (47,87%) were the most frequent. The radiodiagnosis exams represent approximately 75% of the exams requested. A total unnecessary expense of s /.32125,21 equivalent to USD 9818.32 was obtained. Conclusions: There is a high frequency of the use of non-cost-effective tests in patients with non-specific low back pain, with radiodiagnosis being the most prescribed.
Start page
23
End page
50
Volume
29
Issue
3
Language
Spanish
OCDE Knowledge area
Neurología clínica
Scopus EID
2-s2.0-85099622381
Source
Revista Ecuatoriana de Neurologia
ISSN of the container
10198113
Sources of information: Directorio de Producción Científica Scopus