title: Use of radiology by general practitioners making orthopaedic referrals: a cross-sectional study.
abstract: BACKGROUND
  In orthopaedic clinics, patients can be x-rayed during their visit to the surgeon. Could radiographs carried out in primary care be more efficiently carried out when the patient meets the surgeon?
  
  
  OBJECTIVE
  To quantify and describe use of radiological investigations by general practitioners (GPs), when referring to orthopaedics.
  
  
  METHODS
  We made a retrospective examination of 294 referral letters for detail regarding x-ray investigation of the condition prompting the letter. We used referral letters assessed by the recipient as 'routine'. We excluded those addressed to a particular surgeon because of subspecialty interest or prior care.
  
  
  RESULTS
  Twenty one percent (62) of referrals described an investigation that did not contribute to management prior to the patient's clinic appointment.
  
  
  CONCLUSIONS
  A significant number of patients travelled specifically for an x-ray. In some of these cases the radiographs could be delayed until the clinic visit without compromising care.
  
  
  CONCLUSIONS
  We suggest that GPs seeing patients with musculoskeletal problems should consider referral to an orthopaedic surgeon prior to requesting x-rays. X-ray investigation in the orthopaedic clinic may be more convenient for the patient and surgeon.
authors.affiliation: Department of Radiology, ST2, Radiology, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA. n.c.d.morley@halscion.com
authors.forename: N C D
authors.initials: NC
authors.lastname: Morley
authors.forename: H
authors.initials: H
authors.lastname: Robertson
authors.forename: J
authors.initials: J
authors.lastname: Millar
authors.forename: D F
authors.initials: DF
authors.lastname: Finlayson
mesh_terms: D003430:Cross-Sectional Studies; D005194:Family Practice / Q000458:organization & administration*; D019538:Health Care Surveys; D006801:Humans; D009985:Orthopedics; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration*; D011859:Radiography / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000458:organization & administration*; D012606:Scotland