Evidence map›Paper›PMID 17010195›Full record

ArticleBMC health services research2006

Disparities in preventive procedures: comparisons of self-report and Medicare claims data.

Kevin Fiscella, Kathleen Holt, Sean Meldrum, Peter Franks

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Health literacy and cancer screening: a systematic review.Patient education and counseling · 2014
    Pooled it
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  4. Trial
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  6. Review
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  12. Review
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  14. Article
  15. Lack of validity of self-reported mammography data.Family medicine and community health · 2019
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. The contribution of social and environmental factors to race differences in dental services use.Journal of urban health : bulletin of the New York Academy of Medicine · 2015
    Article
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

4 authors.

Kevin FiscellaDepartment of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA. Kevin_Fiscella@urmc.rochester.edu
Kathleen Holt
Sean Meldrum
Peter Franks

Funding

Do Reporting Biases Mitigate Disparity Estimates?R01HS013173 · AHRQ · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN · 2003 to 2004
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AHRQ HHS R01 HS013173AHRQ HHS R01 HS 013173-01A1
6 · The paper itself

Abstract

backgroundRacial/ethnic disparities are assessed using either self-report or claims data. We compared these two data sources and examined contributors to discrepancies in estimates of disparities.

methodsWe analyzed self-report and matching claims data from Medicare Beneficiaries 65 and older who participated in the Medicare Current Beneficiary Survey, 1999-2002. Six preventive procedures were included: PSA testing, influenza vaccination, Pap smear testing, cholesterol testing, mammography, and colorectal cancer testing. We examined predictors of self-reports in the absence of claims and claims in the absence of self-reports.

resultsWith the exception of PSA testing, racial/ethnic disparities in preventive procedures are generally larger when using Medicare claims than when using patients' self-report. Analyses adjusting for age, gender, income, educational level, health status, proxy response and supplemental insurance showed that minorities were more likely to self-report preventive procedures in the absence of claims. Adjusted odds ratios ranged from 1.07 (95% CI: 0.88 - 1.30) for PSA testing to 1.83 (95% CI: 1.46 - 2.30) for Pap smear testing. Rates of claims in the absence of self-report were low. Minorities were more likely to have PSA test claims in the absence of self-reports (1.55 95% CI: 1.17 - 2.06), but were less likely to have influenza vaccination claims in the absence of self-reports (0.69 95% CI: 0.51 - 0.93).

conclusionThese findings are consistent with either racial/ethnic reporting biases in receipt of preventive procedures or less efficient Medicare billing among providers with large minority practices.

Indexed as

Insurance Claim ReviewSelf DisclosureAgedAged, 80 and overBlack or African AmericanConfidence IntervalsData CollectionDiagnostic Tests, RoutineFemaleHealth Care SurveysHispanic or LatinoHumansMaleMedicareMinority GroupsPatient Acceptance of Health Care

Identifiers

PMID17010195
PMCPMC1592485

What OpenQuestion holds

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LicenceCC BY
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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.