Reduction in use of MRI and arthroscopy among patients with degenerative knee disease in independent treatment centers versus general hospitals: a time series analysis

• DOI: 10.1093/intqhc/mzae004
• Publication Date: 2024-01-22T18:39:56Z
• Authors: Laurien S Kuhrij; Perla J Marang-va...; Lisanne van Lier; Razia Alimahomed; Rob G H H Nelissen; Leti van Bodegom-Vos
• Keywords: osteoarthritis; quality of health care; low-value care; knee; Original Research Article

Abstract The use of MRI and arthroscopy are considered low-value care in most patients with degenerative knee disease. To reduce these modalities, there have been multiple efforts to increase awareness. Reductions shown for general hospitals (GH), but it is unclear whether this may be partly explained by a shift receiving modalities independent treatment centers (ITCs). aims study were assess (i) the trend disease differs between ITCs GH, (ii) Dutch raise awareness on recommendations associated change both types providers. All insured healthcare insurer aged ≥50 years who treated GH or ITC July 2014 December 2019 included. Linear regression was used quarterly percentage an weighted center volume, as primary outcome. Interrupted time-series analysis evaluate effect A total 14 702 included 90 GHs (n = 13 303, 90.5%) 29 1399, 9.5%). Across period, average had 16% higher (P < .001) 9% .003). did not provider types, significantly decreased became stronger .01). influence either .55 P .84) .13 .70). uses than GHs. among ≥ 50 2019. MRI- having rates also showing decrease use. accelerate already declining Netherlands.