Understanding the use of Diagnostic Imaging
Research type
Research Study
Full title
Understanding the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee, and shoulder: a qualitative investigation.
IRAS ID
292128
Contact name
Chris Littlewood
Contact email
Duration of Study in the UK
3 years, 11 months, 31 days
Research summary
Lower back, knee and shoulder pain are the three most common musculoskeletal pain conditions that present in primary care. In many situations thee is considerable uncertainty regarding diagnosis. Diagnostic imaging is increasingly being used across the NHS, particularly where uncertainty exists. In such circumstances, patients often perceive scan results to provide definitive understanding.
Despite the use of diagnostic imaging increasing, there does not appear to be a difference in clinical outcome (improved pain or function) between those that undergo a scan or x-ray, and those that do not. There are problems associated with misuse of diagnostic imaging including exposure to radiation, negative beliefs, reduced prognosis as well as an economic cost.
The increasing use of diagnostic imaging does not appear to be due to recommendations from clinical guidelines. This study will help understand the reasons behind use of diagnostic imaging from both a patient and clinician perspective.
REC name
Wales REC 7
REC reference
21/WA/0061
Date of REC Opinion
2 Mar 2021
REC opinion
Favourable Opinion