Evidence map›Paper›PMID 23579013›Full record

ArticleJACC. Cardiovascular imaging2013

Temporal trends in the utilization of echocardiography in Ontario, 2001 to 2009.

Saul Blecker, R Sacha Bhatia, John J You, Douglas S Lee, David A Alter, Julie T Wang, Hannah J Wong, Jack V Tu

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in JACC. Cardiovascular imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02038101 (Feedback and Education Intervention to Reduce Inappropriate Transthoracic Echocardiograms), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT02038101 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Feedback and Education Intervention to Reduce Inappropriate Transthoracic Echocardiograms (TTE)

TypeinterventionalSponsorWomen's College HospitalRan2014 to 2016Enrolled256ConditionsCARDIOVASCULAR DISEASESArmsEducation and Feedback
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 52 citations in OpenAlex.

  1. Cost-effectiveness of population screening for aortic stenosis.European heart journal. Quality of care & clinical outcomes · 2025
    Article
  2. What's in Your Serial?CASE (Philadelphia, Pa.) · 2025
    Article
  3. Article
  4. Echocardiographic Detection of Regional Wall Motion Abnormalities Using Artificial Intelligence Compared to Human Readers.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Effects of an Electronic Medical Record Intervention on Appropriateness of Transthoracic Echocardiograms: A Prospective Study.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2021
    Observational
  9. Article
  10. Article
  11. Trends in Inpatient Resource Utilization and Complications Among Total Joint Arthroplasty Recipients: A Retrospective Cohort Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2018
    Article
  12. Article
  13. Low prevalence of relevant findings in inappropriate echocardiograms and discordant perceptions between cardiologists and patients.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Focused Cardiac Ultrasound in Place of Repeat Echocardiography: Reliability and Cost Implications.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2015
    Article
  20. 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

8 authors at 6 institutions in 2 countries.

Saul BleckerDepartment of Population Health, New York University School of Medicine, New York, New York, USA.
R Sacha Bhatia
John J You
Douglas S Lee
David A Alter
Julie T Wang
Hannah J Wong
Jack V Tu
Institute for Clinical Evaluative Sciences · CAUniversity Health Network · CAHarvard University · USNew York University · USSt. Michael's Hospital · CASunnybrook Health Science Centre · CA

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Health Information Technology in Heart Failure CareK08HS023683 · AHRQ · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BLECKER, SAUL B. · 2014 to 2017
$633k
AHRQ HHS K08 HS023683CIHRNHLBI NIH HHS 5T32HL007024NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

The purpose of this study was to examine utilization and growth in echocardiography among the general population of Ontario between 2001 and 2009. The age- and sex-adjusted rates of echocardiography grew from 39.1 per 1,000 persons in 2001 to 59.9 per 1,000 persons in 2009, for an annual rate of increase of 5.5%. Repeat echocardiograms increased at a rate of 10.6% per year and accounted for 25.3% of all procedures in 2009 as compared to 18.5% in 2002. While significant increases in echocardiography utilization were observed, opportunities may exist to improve the clinical utility of the echocardiograms performed in Ontario.

Indexed as

AdultAgedChi-Square DistributionCross-Sectional StudiesEchocardiographyFemaleHealth Care SurveysHumansLinear ModelsMaleMiddle AgedOntarioPractice Patterns, Physicians'Time Factors

Identifiers

PMID23579013
PMCPMC3915739
OpenAlexW1996339347

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.