ArticleHealth services research2016
Appropriateness of Prostate Cancer Imaging among Veterans in a Delivery System without Incentives for Overutilization.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of the overuse of imaging in low-risk prostate cancer: A systematic review.Urologic oncology · 2017Pooled it
- Overuse of Health Care Services in the Management of Cancer: A Systematic Review.Medical care · 2017Pooled it
- Impact of choosing wisely on imaging in men with newly diagnosed prostate cancer.Urologic oncology · 2023Article
- Systematic review of interventions that improve provider compliance to imaging guidelines for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Review
- Determinants for the use and de-implementation of low-value care in health care: a scoping review.Implementation science communications · 2021Article
- Article
- Characterising potential bone scan overuse amongst men treated with radical prostatectomy.BJU international · 2019Article
- Association Between Guideline-Discordant Prostate Cancer Imaging Rates and Health Care Service Among Veterans and Medicare Recipients.JAMA network open · 2018Article
- The State of Men's Health Services in the Veterans Health Administration.Current urology reports · 2017Review
- Use of Evidence-Based Prostate Cancer Imaging in a Nongovernmental Integrated Health Care System.Journal of oncology practice · 2017Article
- A qualitative study to understand guideline-discordant use of imaging to stage incident prostate cancer.Implementation science : IS · 2016Article
- Initiative to reduce bone scans for low-risk prostate cancer patients: A quasi-experimental before-and-after study in a Veterans Affairs hospital.Advances in radiation oncologyArticle
- Disparities in staging prostate magnetic resonance imaging utilization for nonmetastatic prostate cancer patients undergoing definitive radiation therapy.Advances in radiation oncologyArticle
- Evidence-Based Cancer Imaging.Korean journal of radiologyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveTo determine the frequency of appropriate and inappropriate prostate cancer imaging in an integrated health care system. DATA SOURCES/STUDY
settingVeterans Health Administration Central Cancer Registry linked to VA electronic medical records and Medicare claims (2004-2008). STUDY
designWe performed a retrospective cohort study of VA patients diagnosed with prostate cancer (N = 45,084). Imaging (CT, MRI, bone scan, PET) use was assessed among patients with low-risk disease, for whom guidelines recommend against advanced imaging, and among high-risk patients for whom guidelines recommend it. PRINCIPAL
findingsWe found high rates of inappropriate imaging among men with low-risk prostate cancer (41 percent) and suboptimal rates of appropriate imaging among men with high-risk disease (70 percent). Veterans utilizing Medicare-reimbursed care had higher rates of inappropriate imaging [OR: 1.09 (1.03-1.16)] but not higher rates of appropriate imaging. Veterans treated in middle [OR: 0.51 (0.47-0.56)] and higher [OR: 0.50 (0.46-0.55)] volume medical centers were less likely to undergo inappropriate imaging without compromising appropriate imaging.
conclusionsOur results highlight the overutilization of imaging, even in an integrated health care system without financial incentives encouraging provision of health care services. Paradoxically, imaging remains underutilized among high-risk patients who could potentially benefit from it most.
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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.