Choosing Wisely: Highest-cost tests in outpatient neurology

James F. Burke; Lesli E. Skolarus; Brian C. Callaghan; Kevin A. Kerber

doi:10.1002/ana.23865

Choosing Wisely: Highest-cost tests in outpatient neurology

James F. Burke^*, Lesli E. Skolarus, Brian C. Callaghan, Kevin A. Kerber

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

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. Ann Neurol 2013;73:679-683

Original language	English (US)
Pages (from-to)	679-683
Number of pages	5
Journal	Annals of neurology
Volume	73
Issue number	5
DOIs	https://doi.org/10.1002/ana.23865
State	Published - May 2013

ASJC Scopus subject areas

Clinical Neurology
Neurology

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10.1002/ana.23865

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Choosing Wisely: Highest-cost tests in outpatient neurology

Abstract

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