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Can physician and patient gestalt lead to a shared decision to reduce unnecessary radiography in extremity trauma?

Patients were excluded if they had (1) clinically obvious fracture (eg, open fracture, "anatomically incorrect" deformity); (2) arrival via emergency medical services transport; (3) nontraumatic pain or chronic pain; (4) injury to the torso; (5) provider concern for foreign body; or (6) if...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-02, Vol.34 (2), p.349-356
Main Authors: Mouw, Michael, MD, MPAff, Balatiouk-Lance, Tatiana, MD, Brown, Lawrence H., PhD, MPH&TM
Format: Article
Language:English
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Summary:Patients were excluded if they had (1) clinically obvious fracture (eg, open fracture, "anatomically incorrect" deformity); (2) arrival via emergency medical services transport; (3) nontraumatic pain or chronic pain; (4) injury to the torso; (5) provider concern for foreign body; or (6) if the patient was a victim of an assault (as required by our institutional review board). [...]a total sample size of 200 subjects was planned (40%x200 = 80).
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.11.022