Recommendations on patient-facing websites regarding diagnostic imaging for low back, knee, and shoulder pain: A scoping review

Cuff, Andrew; Jesson, Thomas; Yeowell, Gillian; Dikomitis, Lisa; Foster, Nadine; Littlewood, Chris

Abstract

ObjectiveTo describe and synthesise the content of public-facing websites regarding the use of diagnostic imaging for adults with lower back pain, knee, and shoulder pain.MethodsScoping review conducted in accordance with PRISMA guidance. A Google search was performed to identify public-facing websites that were either United Kingdom-based, or National Health Service affiliated. The DISCERN tool was used to appraise website quality before information regarding the use of imaging was synthesised using thematic analysis.ResultsEighty-six websites were included, with 48 making reference to the use of imaging. The information within the majority (n = 43) of public-facing websites aligns with best available evidence. Where there is inconsistency, this may be explained by lower website quality. Three themes were apparent regarding the use of imaging – imaging to inform diagnosis and management; imaging in context; patient experience and expectations.ConclusionThe recommendations and rationale for use of imaging contained within public-facing websites does not appear to justify the increase in imaging rates for musculoskeletal pain in the UK.InnovationPublicly available information following a novel search strategy, is largely aligned with best evidence, further understanding is required to determine reasons for requesting imaging from a patient and clinician perspective.

• Journal Article Type: Article
• Acceptance Date: Apr 13, 2022
• Publication Date: Apr 23, 2022
• Deposit Date: Nov 15, 2024
• Publicly Available Date: Nov 19, 2024
• Journal: PEC Innovation
• Electronic ISSN: 2772-6282
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 1
• Article Number: 100040
• Keywords: Shoulder Pain, Low Back Pain, Knee Pain, Diagnostic Imaging