Evidence map›Paper›PMID 23576918›Full record

ArticleThe Iowa orthopaedic journal2012

CT scans for pulmonary surveillance may be overused in lower-grade sarcoma.

Benjamin J Miller, Emily E Carmody Soni, John D Reith, C Parker Gibbs, Mark T Scarborough

Open access · greenAbstract read
In one paragraph

Article in The Iowa orthopaedic journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Cost of Low-Value Imaging Worldwide: A Systematic Review.Applied health economics and health policy · 2024
    Pooled it
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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 1 institution in 1 country.

Benjamin J MillerDepartment of Orthopaedics and Rehabilitation, University of Iowa, 200 Hawkins Drive, 01025 JPP Iowa City, IA 52242, USA. benjamin-j-miller@uiowa.edu
Emily E Carmody Soni
John D Reith
C Parker Gibbs
Mark T Scarborough
University of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chest CT scans are often used to monitor patients after excision of a sarcoma. Although sensitive, CT scans are more expensive than chest radiographs and are associated with possible health risks from a higher radiation dose. We hypothesized that a program based upon limited CT scans in lower-grade sarcoma could be efficacious and less expensive. We retrospectively assigned patients to a high-risk or low-risk hypothetical protocol. Eighty-three low- or intermediate-grade soft tissue sarcomas met our inclusion criteria. Eight patients had pulmonary metastasis. A protocol based on selective CT scans for high-risk patients would have identified seven out of eight lesions. The incremental cost-effectiveness ratio for routine CT scans was $731,400. A program based upon selective CT scans for higher-risk patients is accurate, spares unnecessary radiation to many patients, and is less expensive.

Indexed as

AdolescentAdultAgedAged, 80 and overChildFemaleHumansLung NeoplasmsMaleMiddle AgedRetrospective StudiesRiskSarcomaSoft Tissue NeoplasmsTomography, X-Ray ComputedYoung Adult

Identifiers

PMID23576918
PMCPMC3565411
OpenAlexW176079223

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.