Objectives: The aim was seeking consensus to diagnostic procedures used in common clinical situations in non-traumatic neck pain, to reduce the variability of clinical practice and adapt technologies according to diagnostic and pathology in study, taking into account risks to human health. Methodology: We used the Delphi method to achieve consensus in a group of physicians on the appropriateness of diagnostic imaging tests. Were invited to 41 different clinical specialties (radiologists, rheumatologists, orthopedists, rehabilitation and primary care physicians) to participate in the study rated from 0 (not appropriate) to 9 (very appropriate) use of five technologies diagnostic imaging in six different clinical situations considered common in our context, for 3 consecutive rounds. Results: In the neck pain conventional radiology, magnetic resonance imaging and scintigraphy may be appropriate in the different described clinical situations. The tomography hasn’t been valued like appropriate in any of the proposed scenarios. Conclusions: The simple and uncomplicated neck pain does not require any diagnostic imaging proof. In other clinical situations simple radiology may be enough relevant and some other imaging tests could be indicated.
Neck pain; Tests; Diagnostic imaging tests
López-Aguilà S, Almazán C, Surís X, Larrosa M, Galimany J. Dolor cervical: utilització apropiada de les proves de diagnòstic per la imatge. Barcelona: Agència d’Informació, Avaluació i Qualitat en Salut; 2012.
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