Ghassan B Hamra1, Richard C Semelka2, Lauren M B Burke2, Virginia Pate3, M Alan Brookhart3. 1. Section of Environment and Radiation, International Agency for Research on Cancer, Lyon, France. Electronic address: hamrag@fellows.iarc.fr. 2. Department of Radiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. 3. Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Abstract
OBJECTIVES: To examine trends in the use of diagnostic CT in aggregate and for 4 major body regions (abdomen/pelvis, head/neck, chest, and spine) in an 11-year US nationwide analysis. METHODS: We summarize records from a large, mostly fee-for-service insurance claims database from 2000 to 2011. RESULTS: Rates of diagnostic CT have increased substantially from 2000 to 2011; however, changes in rates are disparate for different age groups and body regions. As others have shown, there has been a notable increase in use of diagnostic CT from 2000 to 2011. However, from 2009 to 2011, diagnostic CT studies of the chest, abdomen/pelvis, and head/neck have leveled off or decreased, whereas CTs of the spine show a continued increase in many groups. CONCLUSIONS: In general, the increase in the rate of CT study performance has slowed, whereas spine CT continued to escalate. Future research should consider whether the increase in use of spine CT leads to a benefit that outweighs the risk associated with the increased population-level cancer risk.
OBJECTIVES: To examine trends in the use of diagnostic CT in aggregate and for 4 major body regions (abdomen/pelvis, head/neck, chest, and spine) in an 11-year US nationwide analysis. METHODS: We summarize records from a large, mostly fee-for-service insurance claims database from 2000 to 2011. RESULTS: Rates of diagnostic CT have increased substantially from 2000 to 2011; however, changes in rates are disparate for different age groups and body regions. As others have shown, there has been a notable increase in use of diagnostic CT from 2000 to 2011. However, from 2009 to 2011, diagnostic CT studies of the chest, abdomen/pelvis, and head/neck have leveled off or decreased, whereas CTs of the spine show a continued increase in many groups. CONCLUSIONS: In general, the increase in the rate of CT study performance has slowed, whereas spine CT continued to escalate. Future research should consider whether the increase in use of spine CT leads to a benefit that outweighs the risk associated with the increased population-level cancer risk.
Authors: Amanda L Blackford; Marcia Irene Canto; Alison P Klein; Ralph H Hruban; Michael Goggins Journal: J Natl Cancer Inst Date: 2020-11-01 Impact factor: 13.506
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