American Academy of Orthopaedic Surgeons
Nearly 35 percent of all the imaging costs for 2068 orthopedic
patient encounters in Pennsylvania were ordered for defensive purposes, according
to a new study presented at the 2011 Annual Meeting of the American Academy of
Orthopaedic Surgeons in San Diego. For many years, some physicians have ordered
specific diagnostic procedures that are of little or no benefit to a patient, largely
to protect themselves from a lawsuit. Until now, however, efforts to measure defensive
medicine practices have been limited primarily to surveys that ask physicians whether
they practice defensive medicine. “This is the first study we know of that
looked at the actual practice decisions of physicians regarding defensive imaging
in real time, prospectively done,” said Dr. John Flynn, associate chief of
orthopedic surgery at Children’s Hospital of Philadelphia.
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