%0 Journal Article
%T The Effect of Requester Training on the Relevance of Lumbar Spine X-Ray Request for Low Back Pain in Adults at Yaounde
%A Moulion Tapouh Jean Roger
%A Djomou Wandji Franck Arold
%A Mbede Maggy
%A Moifo Boniface
%J Open Journal of Radiology
%P 8-16
%@ 2164-3032
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojrad.2022.121002
%X <strong>Background:</strong> Despite the availability of guidelines, the requests for medical imaging examinations for the exploration of low back pain remain irrelevant in the majority of cases. <strong>Objective:</strong> To assess the impact of requester training on the justification of lumbar spine X-rays for low back pain in adults in Yaounde. <strong>Materials and Methods:</strong> We carried out an interventional study from December 2017 to April 2018 in Yaounde (Cameroon). We analyzed the relevance of the prescription of X-rays for low back pain before and after an interactive training of the requesters.<strong> Results:</strong> Among the 16 requesters who were trained, the proportion of irrelevant requests dropped from 58.22% (46/79) before training to 44.44% (20/45) after training, representing a decrease of 13.78% (p = 0.012). The highest drop in the proportion of irrelevant requests was found among general practitioners (<span style=\"white-space:nowrap;\">-</span>21.98%) and requesters having less than 10 years of experience in medical practice (<span style=\"white-space:nowrap;\">-</span>31.8%). <strong>Conclusion: </strong>The training of requesters moderately reduces the rate of irrelevant examinations. Other factors of irrelevant prescription must be investigated and corrected for this decrease to be more significant.
%K Guidelines
%K Low Back Pain
%K Training
%K Requesters
%K Justification
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115634