Excretory urography in current practice: Evidence against overutilization

P. Doubilet, B. J. McNeil, F. X. van Houten, A. Berenberg, S. Ratnofsky, R. A. Greenes, J. W. Anderson, H. Z. Mellins, H. L. Abrams

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Excretory urography could be performed less frequently if some combinations of genitourinary signs and symptoms were found to be predictive of either a specific disease or normality. To explore this possibility, the authors conducted a prospective study involving more than 3,000 patients at three institutions (a teaching hospital, a community hospital, and a health maintenance organization). Predictive algorithms were obtained by application of a polychotomous logistic regression model but did poorly at differentiating normal from abnormal patients or arriving at a specific diagnosis. Selection of patients on the basis of the logistic model would have required testing 90% of all patients in order to detect 95% of those with abnormal urograms. These results suggest that current clinical selection criteria for excretory urography are effective, and that present frequency of utilization is appropriate.

Original languageEnglish (US)
Pages (from-to)607-611
Number of pages5
JournalRadiology
Volume154
Issue number3
DOIs
StatePublished - Jan 1 1985
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Excretory urography in current practice: Evidence against overutilization'. Together they form a unique fingerprint.

Cite this