Table 1.
Summary of Patient Characteristics and Low Back Magnetic Resonance Imaging (MRI) Utilization
(1) Physician Self-Referral Status | (2) Among Self-Referring Physicians | |||||
---|---|---|---|---|---|---|
Traditional MRI Users | Will or Has Acquired MRI | p-Value | Before MRI Acquisition | After MRI Acquisition | p-Value | |
Orthopedist episodes (n = 78,914) | 70,400 | 8,514 | 3,485 | 5,029 | ||
Orthopedic surgeons (n) | 7,717 | 1,271 | ||||
Patient characteristics | ||||||
Female (%) | 64.4 | 65.3 | 0.118 | 64.5 | 65.8 | 0.228 |
Black (%) | 4.6 | 4.3 | 0.119 | 4.4 | 4.2 | 0.743 |
Mean age (years) | 76.5 | 76.4 | 0.077 | 76.5 | 76.3 | 0.098 |
With dual Medicaid coverage (%) | 8.4 | 7.0 | <0.001 | 7.3 | 6.7 | 0.355 |
Mean prior year total Medicare spending (U.S.$) | 5,093 | 4,883 | 0.052 | 4,726 | 4,992 | 0.163 |
Receives low back MRI within 180 days (%) | 19.5 | 25.0 | <0.001 | 21.8 | 27.2 | <0.001 |
Primary care episodes (n = 661,553) | 655,393 | 6,160 | 2,559 | 3,601 | ||
Primary care physicians (n) | 84,809 | 1,033 | ||||
Patient characteristics | ||||||
Female (%) | 64.9 | 65.7 | 0.183 | 66.1 | 65.4 | 0.542 |
Black (%) | 5.9 | 3.8 | <0.001 | 3.9 | 3.7 | 0.748 |
Mean age (years) | 76.5 | 76.5 | 0.523 | 76.6 | 76.5 | 0.588 |
With dual Medicaid coverage (%) | 15.4 | 11.7 | <0.001 | 12.1 | 11.5 | 0.487 |
Mean prior year total Medicare spending (U.S.$) | 4,131 | 4,332 | 0.077 | 4,054 | 4,529 | 0.048 |
Receives low back MRI within 180 days (%) | 10.5 | 14.5 | <0.001 | 11.2 | 16.7 | <0.001 |