Update Engelske atlas “radiologi2”

apps/skde/_posts/helseatlas/en/atlas/radiologi2.json

@@ -34,7 +34,7 @@
           "data": "mr_kol_68_rb1.json",
           "publisert": "2024-03-07T11:30:18.397Z",
           "resultat": "73% more MRIs of the vertebral column were carried out in referral area Diakonhjemmet compared to referral area Førde. The size of the geographical variation was equal to the geographical variation in the population aged 18-67.  \n\n**Public/private** \n\nA lower proportion of MRIs of the older population were carried out at private imaging clinics, 70% compared to 81% in the younger population. We observe that the older population in referral areas without private options had rates below the national average.  \n\n**Surgery**  \n\nMRI of the vertebral column is part of the diagnostic tests carried out in advance of potential back or neck surgery. Approximately 6% of the MRIs in the older population could be tied to a surgical procedure within a year. This was somewhat higher than the 4% in the younger population. The proportion of MRIs tied to a surgical procedure was twice as big for residents in referral area St. Olav compared to Østfold. Inclusion criteria are defined by the [National Quality Registry for Spine Surgery](https://www.kvalitetsregistre.no/register/muskel-og-skjelett/nasjonalt-kvalitetsregister-ryggkirurgi), where the most frequent causes of surgery were spinal stenosis and lumbar disc herniation.  \n\n![](/helseatlas/img/no/radiologi2/korr_mrkol68_kir.png \"Rate for MRI of the vertebral column and proportion of surgery\")\n\n**Remarks**  \n\nThere was a higher use of MRI of the vertebral column among the older population than in the younger population. Several of the conditions where an MRI is a natural diagnostic test occur more frequently in the older population. Unsurprisingly, a lower proportion of the MRIs were performed at private imaging clinics. This is partly owing to the fact that many in the older population were patients in the care of the public health services and who therefore received MRIs at the radiology department at the hospital. Older patients residing in the referral areas without a private option had MRI rates below the national average.  \n\nWe do not find any connection between the rate for MRIs of the vertebral column and the proportion of MRIs followed by surgery.\n\nWe suspect that there was unwarranted variation in the use of MRI in the older population, but since we do not know the ideal rate of MRI it is difficult to ascertain whether the variation expresses overuse in certain referral areas of underuse in others.",
-          "overskrift": "Older populations ≤ 68",
+          "overskrift": "Older populations ≥ 68",
           "ingress": "Annually, 32 000 MRIs of the vertebral column were carried out among the 770 000 residents of 68 years or older. Nationally, the rate of MRIs of the vertebral column for this age group is 11% higher than for residents under 68.",
           "kart": "kronikere.geojson",
           "type": "resultatboks",
@@ -119,7 +119,7 @@
           "utvalg": "**Diagnostic imaging of the shoulder defined as:**  \n\n* SNB0BG – MRI shoulder \n* SNB0BA – x-ray shoulder \n* Simultaneously, or 30 days before or after the MRI of the cervikal spine \n\n**Repeated MRIs of the cervikal spine defined as:**  \n\n* SNA0AG – MRI cervikal spine \n* At least two examinations within 365 days \n\n**X-ray of the cervikal spine defined as:**  \n\n* SNA0AA – x-ray of the cervikal spine \n* Simultaneous with MRI cervikal spine \n\nAges 18-105",
           "data": "mr_cervikalkol_tillegg.json",
           "publisert": "2024-03-07T11:29:05.023Z",
-          "resultat": "**Shoulder**  \n\nResidents in referral areas Fonna and Bergen had the highest proportion of diagnostic imaging of the should together with an MRI of the cervikal spine at 21% compared to the lowest proportion for residents in referral area Helgeland at 11%. Nationally, diagnostic imaging of the shoulder together with an MRI of the cervikal spine seems to be an increasing trend.  \n\n**Repeated examinations** \n\n5% of patients underwent a new MRI of the cervikal spine within a year. This pertained to a low number of examinations and there was considerable variation between years.  \n\n**X-ray of the cervikal spine** \n\nSimultaneous x-rays of the cervikal spine were performed at 4% of the MRIs of the cervikal spine. Residents in referral area Vestre Viken underwent an x-ray simultaneously at 30% of examinations. There were several referral areas where patients did not undergo x-rays and MRIs at the same time.  \n\n**Remarks**\n\nNeck and shoulder conditions are often related, and unexpectedly we found that diagnostic imaging of shoulder and neck together. There was a small decrease in the time period investigated and the geographical variation can indicate differences in practice.  \n\nA small number of patients underwent a new MRI of the cervikal spine within a year. The large variations between years suggest a large degree of random variation. Therefore, there is no basis for considering the geographic variation more closely.  \n\nThere was also a small number of patients who underwent an x-ray at the same time as the MRI of the cervikal spine. At a private imaging clinic in Vestre Viken, the routine has been to perform x-rays together with MRIs for patients older than 50 years. The reasoning behind the age limit is said to have been that older patients are more likely to have degenerative bone spurs in the neck which x-rays were supposed to reveal. The practice of routinely performing x-rays together with MRIs of the cervikal spine ended in 2023. The costs of carrying out x-rays and describing the pictures are larger than the reimbursements provided, which per 01.01.23 was 10 kroner.",
+          "resultat": "**Shoulder**  \n\nResidents in referral areas Fonna and Bergen had the highest proportion of diagnostic imaging of the shoulder together with an MRI of the cervikal spine at 21% compared to the lowest proportion for residents in referral area Helgeland at 11%. Nationally, diagnostic imaging of the shoulder together with an MRI of the cervikal spine seems to be an increasing trend.  \n\n**Repeated examinations** \n\n5% of patients underwent a new MRI of the cervikal spine within a year. This pertained to a low number of examinations and there was considerable variation between years.  \n\n**X-ray of the cervikal spine** \n\nSimultaneous x-rays of the cervikal spine were performed at 4% of the MRIs of the cervikal spine. Residents in referral area Vestre Viken underwent an x-ray simultaneously at 30% of examinations. There were several referral areas where patients did not undergo x-rays and MRIs at the same time.  \n\n**Remarks**\n\nNeck and shoulder conditions are often related, and unexpectedly we found that diagnostic imaging of shoulder and neck together. There was a small decrease in the time period investigated and the geographical variation can indicate differences in practice.  \n\nA small number of patients underwent a new MRI of the cervikal spine within a year. The large variations between years suggest a large degree of random variation. Therefore, there is no basis for considering the geographic variation more closely.  \n\nThere was also a small number of patients who underwent an x-ray at the same time as the MRI of the cervikal spine. At a private imaging clinic in Vestre Viken, the routine has been to perform x-rays together with MRIs for patients older than 50 years. The reasoning behind the age limit is said to have been that older patients are more likely to have degenerative bone spurs in the neck which x-rays were supposed to reveal. The practice of routinely performing x-rays together with MRIs of the cervikal spine ended in 2023. The costs of carrying out x-rays and describing the pictures are larger than the reimbursements provided, which per 01.01.23 was 10 kroner.",
           "overskrift": "Additional examinations",
           "ingress": "At 17% of the MRIs of the cervikal spine, diagnostic imaging of the shoulder was carried out either simultaneously or within 30 days before or after the MRI.",
           "kart": "",