Evidence map›Paper›PMID 26118943›Full record

ArticleJournal of magnetic resonance imaging : JMRI2016

Utilization and likelihood of radiologic diagnostic imaging in patients with implantable cardiac defibrillators.

Saman Nazarian, Matthew R Reynolds, Michael P Ryan, Steven D Wolff, Sarah A Mollenkopf, Mintu P Turakhia

Registry-linked trialAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03016429 (Safety and Clinical Outcomes of Magnetic Resonance Imaging in Patients With Cardiac Implantable Electrical Devices), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

NCT03016429 completednot on this map

Safety and Clinical Outcomes of Magnetic Resonance Imaging in Patients With Cardiac Implantable Electrical Devices

TypeobservationalSponsorBeth Israel Deaconess Medical CenterRan2016 to 2021Enrolled1,169ConditionsCardiac Disease
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Magnetic resonance imaging in patients with cardiac implantable electronic devices: the RESONANCE Spanish registry.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  3. Article
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  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Increased healthcare utilization associated with complete atrioventricular block in pacemaker patients.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2018
    Article
  19. Article
  20. Observational
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

6 authors.

Saman NazarianJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Matthew R ReynoldsHarvard Clinical Research Institute, Boston, Massachusetts, USA.
Michael P RyanCTI Clinical Trial and Consulting Services, Cincinnati, Ohio, USA.
Steven D WolffCarnegie Hill Radiology, New York, New York, USA.
Sarah A MollenkopfMedtronic, Minneapolis, Minnesota, USA.
Mintu P TurakhiaStanford University School of Medicine, Palo Alto VA Healthcare System, Palo Alto, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine imaging utilization in a matched cohort of patients with and without implantable cardioverter defibrillators (ICD) and to project magnetic resonance imaging (MRI) utilization over a 10-year period. MATERIALS AND

methodsThe Truven Health MarketScan Commercial claims and Medicare Supplemental health insurance claims data were used to identify patients with continuous health plan enrollment in 2009-2012. Patients with ICDs were identified using ICD-9 and CPT codes, and matched to patients with the same demographic and comorbidity profile, but no record of device implantation. Diagnostic imaging utilization was compared across the matched cohorts, in total, by imaging categories, and in subpopulations of stroke, back pain, and joint pain. MRI use in the nonimplant group over the 4-year period was extrapolated out to 10 years for ICD-indicated patients.

resultsA cohort of 18,770 matched patients were identified; average age 65.5 ± 13.38 and 21.9% female. ICD patients had significantly less MRI imaging (0.23 0.70 SD vs. 0.00 0.08 SD, P < 0.0001) than nonimplant patients. Among patients with records of stroke/transient ischemic attack (TIA) (ICD 5%, nonimplant 4%) and accompanying diagnostic imaging, 44% of nonimplant patients underwent MRI vs. 1% of ICD patients (P < 0.0001). Forecast models estimated that 53% to 64% of ICD-eligible patients may require an MRI within 10 years.

conclusionMRI utilization is lower in ICD patients compared to nonimplant patients, yet the burden of incident stroke/TIA, back, and joint pain suggests an unmet need for MR-conditional devices.

Indexed as

Utilization ReviewAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesContraindicationsDefibrillators, ImplantableFemaleHumansInfantInfant, NewbornLongitudinal StudiesMagnetic Resonance Imagingdefibrillationhealthcare utilizationheart-assist deviceimplantable cardioverter defibrillatorsmagnetic resonance imaging

Identifiers

PMID26118943
PMCPMC4755166

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.