Table 1: Annual use of lumbar spine radiography, single-segment spine MRI and spine CT by specialty in Ontario, 2009/10 to 2014/15
Test; specialty; measure 2009/10 to 2011/12 (baseline)2012/13% change from baseline2013/14% change from previous year2014/15% change from previous year% change from baseline
Lumbar spine radiography
Family physician
    No. of tests per year, mean342 949244 352-28.7271 43911.1275 0821.3-19.8
No. of tests per physician per year, mean (range)31.4
(1-628)
21.4
(1-421)
-31.823.1
(1-481)
7.923.7
(1-418)
2.6-24.5
No. of physicians who ordered test*10 92411 4264.611 7552.911 626-1.16.4
Specialist
    No. of tests per year, mean62 25158 540-6.061 9275.862 0490.2-0.3
No. of tests per physician per year, mean (range)12.6
(1-1049)
12.1
(1-980)
-4.012.4
(1-938)
2.512.5
(1-937)
0.8-0.8
No. of physicians who ordered test*49564850-2.149772.64949-0.6-0.1
Single-segment spine MRI
Family physician
    No. of tests per year, mean90 89091 6400.8103 36912.8105 1551.715.7
No. of tests per physician per year, mean (range)9.9
(1-308)
9.4
(1-186)
-5.010.2
(1-204)
8.510.3
(1-172)
1.04.0
No. of physicians who ordered test*911697747.210 1814.210 2500.712.4
Specialist
    No. of tests per year, mean43 57443 7380.447 2258.048 0721.810.3
No. of tests per physician per year, mean (range)11.8
(1-1093)
10.8
(1-926)
-8.511.2
(1-1029)
3.711.4
(1-901)
1.8-3.4
No. of physicians who ordered test*370240409.142044.042230.414.1
Spine CT
Family physician
    No. of tests per year, mean60 96643 467-28.746 9758.145 047-4.1-26.1
No. of tests per physician per year, mean (range)7.9
(1-190)
6.1
(1-138)
-22.86.4
(1-213)
4.96.3
(1-158)
-1.6-20.2
No. of physicians who ordered test*77287147-7.573703.17147-3.0-7.5
Specialist
    No. of tests per year, mean20 31918 472-9.120 90013.120 866-0.22.7
No. of tests per physician per year, mean (range)6.3
(1-248)
5.8
(1-277)
-7.96.3
(1-334)
8.66.5
(1-336)
3.23.2
No. of physicians who ordered test*32293179-1.532923.63212-2.4-0.5

Note: CT = computed tomography, MRI = magnetic resonance imaging.

*Number of physicians who ordered at least 1 test during the calendar year. This was used as the denominator when calculating rates.