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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions

National Trends in Lumbar Puncture from 2010 to 2018: A Shift Reversal from the Emergency Department to the Hospital Setting for Radiologists and Advanced Practice Providers

L.M. Trunz, A.V. Gandhi, A.D. Karambelkar, S.M. Lange, V.M. Rao and A.E. Flanders
American Journal of Neuroradiology January 2021, 42 (1) 206-210; DOI: https://doi.org/10.3174/ajnr.A6870
L.M. Trunz
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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A.V. Gandhi
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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A.D. Karambelkar
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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S.M. Lange
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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V.M. Rao
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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A.E. Flanders
aFrom the Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.
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  • FIG 1.
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    FIG 1.

    Lumbar puncture utilization rate (diagnostic and therapeutic LPs combined) per 1000 Medicare Fee-for-Service enrollees. After a peak in 2012, the procedure rate successively declined during the remaining decade, corresponding to a 9% decrease of the overall procedure rate from 2010 to 2018.

  • FIG 2.
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    FIG 2.

    Overall lumbar puncture procedure shares in the United States from 2010 to 2018, by provider specialty. IR indicates interventional radiology; EM, emergency medicine.

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    FIG 3.

    Lumbar puncture procedures in the United States from 2010 to 2018, by place of service performed. HOPD indicates hospital outpatient department.

  • FIG 4.
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    FIG 4.

    Overall lumbar puncture procedure share changes from 2010 to 2018 by provider specialty. IR indicates interventional radiology; EM, emergency medicine.

Tables

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  • Distribution of diagnostic and therapeutic lumbar puncture procedures performed in 2010 and 2018, by specialtya

    Year, Type of ProcedureRadiologyInterventional RadiologyEmergencyNeurologyNeurosurgeryAnesthesiaAdvanced Practice ProvidersOthers
    2010
     Total (n = 92,579)40,129 (43.3)2167 (2.4)20,170 (21.8)11,607 (12.5)2960 (3.2)3416 (3.7)3388 (3.7)8742 (9.4)
     Diagnostic (n = 86,347)38,675 (44.8)2060 (2.4)20,124 (23.3)10,814 (12.5)798 (0.9)2415 (2.8)3289 (3.8)8172 (9.5)
     Therapeutic (n = 6232)1454 (23.3)107 (1.7)46 (0.7)793 (12.7)2162 (34.7)1001 (16.1)99 (1.6)570 (9.2)
    2018
     Total (n = 92,533)43,955 (47.5)4459 (4.8)14,153 (15.3)8126 (8.8)2909 (3.2)2228 (2.4)7785 (8.4)8918 (9.6)
     Diagnostic (n = 85,665)42,376 (49.5)4187 (4.9)14,063 (16.4)7426 (8.7)603 (0.7)1362 (1.6)7380 (8.6)8268 (9.6)
     Therapeutic (n = 6868)1579 (23.0)272 (3.9)90 (1.3)700 (10.2)2306 (33.6)866 (12.6)405 (5.9)650 (9.5)
    • ↵a Data are number (%) of procedures.

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American Journal of Neuroradiology: 42 (1)
American Journal of Neuroradiology
Vol. 42, Issue 1
1 Jan 2021
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L.M. Trunz, A.V. Gandhi, A.D. Karambelkar, S.M. Lange, V.M. Rao, A.E. Flanders
National Trends in Lumbar Puncture from 2010 to 2018: A Shift Reversal from the Emergency Department to the Hospital Setting for Radiologists and Advanced Practice Providers
American Journal of Neuroradiology Jan 2021, 42 (1) 206-210; DOI: 10.3174/ajnr.A6870

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National Trends in Lumbar Puncture from 2010 to 2018: A Shift Reversal from the Emergency Department to the Hospital Setting for Radiologists and Advanced Practice Providers
L.M. Trunz, A.V. Gandhi, A.D. Karambelkar, S.M. Lange, V.M. Rao, A.E. Flanders
American Journal of Neuroradiology Jan 2021, 42 (1) 206-210; DOI: 10.3174/ajnr.A6870
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