Original Article

IJMDC. 2020; 4(10): 1537-1542

The cost and diagnostic value of back X-ray in back pain

Authors: Ibrahim Faris AL-Ruqi.

ABSTRACT

Background: Low back pain (LPB) is an important public health problem. It is a pain in the back between the ribs and the top of the leg that can result from several causes. An X-ray is a diagnostic tool that can be used for the diagnosis of LPB. This study was done to investigate the cost and diagnostic value of back X-ray in patients with back pain. Methodology: This was a cross-sectional study that was performed using a self-made data collection instrument. The study was conducted on all patients with back pain, who went for X-ray and were compared with magnetic resonance imaging (MRI) or computed tomography (CT) scan. The study was performed during the period between July 2012 and July 2013 at the National Guard Hospital, Saudi Arabia. Results: Back X-ray yielded 28.1% abnormalities as compared with MRI and CT scans, which yielded the positive diagnosis in 88.5% and 79.3%, respectively. In this regard, in comparison with MRI and CT scan, back X-ray was able to detect 3 out of every 10 diagnoses for back pain, whereas MRI was able to detect 9 out of 10, and CT was able to detect 8 out of 10 disorders in cases with back pain. The mismatch of back X-ray was 78.6% as compared with abnormal CT, whereas the mismatch of back X-ray compared with abnormal MRI was 96.8%. Conclusion: Back X-ray is not recommended as it failed to detect abnormalities in most of the cases as compared to CT scan and MRI. It also causes more radiation.

Keywords:
Back X-ray, back pain, CT, MRI.


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The cost and diagnostic value of back X-ray in back pain


Authors
Ibrahim Faris AL-Ruqi
Consultant Family Medicine, Deputy Program Director of Residency Training Program-Family Medicine, King Abdulaziz Hospital, Al Ahsa, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Ibrahim Faris Al-Ruqi, Consultant Family Medicine, Deputy Program Director of Residency Training Program-Family Medicine, King Abdulaziz Hospital, AlAhsa, Kingdom of Saudi Arabia.; hamad.alsubaie1993@gmail.com

Publication history
Received 19 Jul 2020
Accepted 03 Aug 2020
Published online 09 Sep 2020
Published in print 11 Oct 2020

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Pubmed Style

Ibrahim Faris AL-Ruqi. The cost and diagnostic value of back X-ray in back pain. IJMDC. 2020; 4(10): 1537-1542. doi:10.24911/IJMDC.51-1595148458


Web Style

Ibrahim Faris AL-Ruqi. The cost and diagnostic value of back X-ray in back pain. http://www.ijmdc.com/?mno=105360 [Access: November 26, 2020]. doi:10.24911/IJMDC.51-1595148458


AMA (American Medical Association) Style

Ibrahim Faris AL-Ruqi. The cost and diagnostic value of back X-ray in back pain. IJMDC. 2020; 4(10): 1537-1542. doi:10.24911/IJMDC.51-1595148458


Vancouver/ICMJE Style

Ibrahim Faris AL-Ruqi. The cost and diagnostic value of back X-ray in back pain. IJMDC. (2020), [cited November 26, 2020]; 4(10): 1537-1542. doi:10.24911/IJMDC.51-1595148458


Harvard Style

Ibrahim Faris AL-Ruqi (2020) The cost and diagnostic value of back X-ray in back pain. IJMDC, 4 (10), 1537-1542. doi:10.24911/IJMDC.51-1595148458


Turabian Style

Ibrahim Faris AL-Ruqi. 2020. The cost and diagnostic value of back X-ray in back pain. International Journal of Medicine in Developing Countries, 4 (10), 1537-1542. doi:10.24911/IJMDC.51-1595148458


Chicago Style

Ibrahim Faris AL-Ruqi. "The cost and diagnostic value of back X-ray in back pain." International Journal of Medicine in Developing Countries 4 (2020), 1537-1542. doi:10.24911/IJMDC.51-1595148458


MLA (The Modern Language Association) Style

Ibrahim Faris AL-Ruqi. "The cost and diagnostic value of back X-ray in back pain." International Journal of Medicine in Developing Countries 4.10 (2020), 1537-1542. Print. doi:10.24911/IJMDC.51-1595148458


APA (American Psychological Association) Style

Ibrahim Faris AL-Ruqi (2020) The cost and diagnostic value of back X-ray in back pain. International Journal of Medicine in Developing Countries, 4 (10), 1537-1542. doi:10.24911/IJMDC.51-1595148458


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