Evidence map›Paper›PMID 16584464›Full record

ArticleHealth services research2006

Application of regression-discontinuity analysis in pharmaceutical health services research.

Ilene H Zuckerman, Euni Lee, Anthony K Wutoh, Zhenyi Xue, Bruce Stuart

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 25 citations in OpenAlex.

  1. Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
    Trial
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ilene H ZuckermanDepartment of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland, Baltimore, MD, USA.
Euni Lee
Anthony K Wutoh
Zhenyi Xue
Bruce Stuart
Office of Minority Health · USUniversity of Maryland, Baltimore · US

Funding

Center for Minority Health Services ResearchR24HS011673 · AHRQ · HOWARD UNIVERSITY · PI WUTOH, ANTHONY K · 2002 to 2009
$948k
AHRQ HHS 1R24HS11673AHRQ HHS R24 HS011673
6 · The paper itself

Abstract

objectiveTo demonstrate how a relatively underused design, regression-discontinuity (RD), can provide robust estimates of intervention effects when stronger designs are impossible to implement. DATA SOURCES/STUDY

settingAdministrative claims from a Mid-Atlantic state Medicaid program were used to evaluate the effectiveness of an educational drug utilization review intervention. STUDY

designQuasi-experimental design. DATA COLLECTION/EXTRACTION

methodsA drug utilization review study was conducted to evaluate a letter intervention to physicians treating Medicaid children with potentially excessive use of short-acting beta(2)-agonist inhalers (SAB). The outcome measure is change in seasonally-adjusted SAB use 5 months pre- and postintervention. To determine if the intervention reduced monthly SAB utilization, results from an RD analysis are compared to findings from a pretest-posttest design using repeated-measure ANOVA. PRINCIPAL

findingsBoth analyses indicated that the intervention significantly reduced SAB use among the high users. Average monthly SAB use declined by 0.9 canisters per month (p<.001) according to the repeated-measure ANOVA and by 0.2 canisters per month (p<.001) from RD analysis.

conclusionsRegression-discontinuity design is a useful quasi-experimental methodology that has significant advantages in internal validity compared to other pre-post designs when assessing interventions in which subjects' assignment is based on cutoff scores for a critical variable.

Indexed as

Regression AnalysisBronchodilator AgentsChildDrug Utilization ReviewHealth Services ResearchHumansMedicaidPractice Patterns, Physicians'Bronchodilator Agents

Identifiers

PMID16584464
PMCPMC1702511
OpenAlexW1990911117

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.