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Comment & Response
June 11, 2019

Solutions to Reduce Unnecessary Imaging

Author Affiliations
  • 1Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts
  • 3Department of Radiology, Harvard Medical School, Boston, Massachusetts
JAMA. 2019;321(22):2242. doi:10.1001/jama.2019.4009

To the Editor Imaging examinations carry risks and are the fourth largest contributor to patient care debt.1 At the same time, appropriate imaging can reduce both emergency department (ED) length of stay and hospitalization rate, the 2 largest contributors to bills that burden patients.1 In a Viewpoint on reducing unnecessary diagnostic imaging, Dr Oren and colleagues2 reported a paucity of randomized clinical trials (RCTs) related to improving ordering appropriateness. We highlight 3 RCTs related to imaging value.