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Why does the adverse effect of inappropriate MRI for LBP vary by geographic location? An exploratory analysis

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Early magnetic resonance imaging (eMRI) for nonspecific low back pain (LBP) not adherent to clinical guidelines is linked with prolonged work disability. Although the prevalence of eMRI for occupational LBP varies substantially among states, it is unknown whether the risk of prolonged disability associated with eMRI varies according to individual and area-level characteristics.
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Why does the adverse effect of inappropriate MRI for LBP vary by geographic location? An exploratory analysis