Table 4 Association of physician beliefs about neuroimaging with recommendation for 1% risk group
From: Variability of physicians’ thresholds for neuroimaging in children with recurrent headache
Belief | Response | Total # | # (%) | # (%) | Fisher’s exact test |
|---|---|---|---|---|---|
Rec NI for 1% | Rec no NI for 1% | ||||
It would be possible to develop a clinical prediction rule that accurately determines risk for children with recurrent headaches. | Agree | 97 | 54 (56%) | 43 (44%) | |
Neutral/Disagree | 17 | 7 (41%) | 10 (59%) | p = 0.302 | |
Neuroimaging is uncomfortable for many children. | Agree | 66 | 32 (48%) | 34 (52%) | |
Neutral/Disagree | 48 | 29 (60%) | 19 (40%) | p = 0.255 | |
Patient comfort should be considered when making decisions about neuroimaging. | Agree | 63 | 39 (62%) | 24 (38%) | |
Neutral/Disagree | 51 | 22 (43%) | 29 (57%) | p = 0.059 | |
Recommending neuroimaging is likely to cause anxiety for the patient or family. | Agree | 70 | 36 (51%) | 34 (49%) | |
Neutral/Disagree | 44 | 25 (57%) | 19 (43%) | p = 0.700 | |
Recommending against neuroimaging is likely to cause anxiety for the patient or family. | Agree | 73 | 42 (58%) | 31 (42%) | |
Neutral/Disagree | 41 | 19 (46%) | 22 (54%) | p = 0.328 | |
Patient and caregiver anxiety should be considered when making decisions about neuroimaging. | Agree | 66 | 34 (52%) | 32 (48%) | |
Neutral/Disagree | 48 | 27 (56%) | 21 (44%) | p = 0.705 | |
The monetary cost to society should be considered when making decisions about neuroimaging. | Agree | 82 | 43 (52%) | 39 (48%) | |
Neutral/Disagree | 32 | 18 (56%) | 14 (44%) | p = 0.835 | |
Caregivers of patients with recurrent headaches expect me to order neuroimaging. | Agree | 62 | 37 (60%) | 25 (40%) | |
Neutral/Disagree | 52 | 24 (46%) | 28 (54%) | p = 0.188 | |
Patient or caregiver preferences should be considered when making decisions about neuroimaging. | Agree | 59 | 35 (59%) | 24 (41%) | |
Neutral/Disagree | 55 | 26 (47%) | 29 (53%) | p = 0.260 | |
A delay in diagnosis leads to significant negative consequences for physicians. | Agree | 95 | 52 (55%) | 43 (45%) | |
Neutral/Disagree | 19 | 9 (47%) | 10 (53%) | p = 0.620 | |
My colleagues believe it is important to avoid unnecessary neuroimaging. | Agree | 96 | 48 (50%) | 48 (50%) | |
Neutral/Disagree | 18 | 5 (28%) | 13 (72%) | p = 0.122 | |
I am able to convince caregivers to agree with my point of view regarding whether their child should receive neuroimaging. | Agree | 103 | 55 (53%) | 48 (47%) | |
Neutral/Disagree | 11 | 6 (55%) | 5 (45%) | p = 1.000 | |
I am able to determine which children require neuroimaging. | Agree | 108 | 57 (53%) | 51 (47%) | |
Neutral/Disagree | 6 | 4 (67%) | 2 (33%) | p = 0.684 |