Journal
ANNALS OF NEUROLOGY
Volume 73, Issue 5, Pages 679-683Publisher
WILEY-BLACKWELL
DOI: 10.1002/ana.23865
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Funding
- NINDS [K23 NS073685]
- AHRQ [R18 HS017690]
- American Diabetes Association Junior Faculty Award
- NIH [K23]
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Identifying the tests/procedures ordered by neurologists that contribute most to health care expenditures is a critical step in the process of creating the neurology top 5 list for the Choosing Wisely initiative. Using data from the 2007-2010 National Ambulatory Care Medical Survey, we found that $13.3 billion (95% confidence interval=$10.1-$16.5 billion) was spent on tests ordered at neurologist visits. The tests/procedures with the highest expenditures were magnetic resonance imaging (MRI; 51% of total expenditures; $7.5 billion), electromyography (EMG; 20% of expenditures; $2.6 billion), and electroencephalography (EEG; 8% of expenditures; $1.1 billion). MRI, EMG, and EEG should receive close scrutiny in the development of the neurology top 5 list.
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