Evidence map›Paper›PMID 27089125›Full record

ArticlePloS one2016

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data.

Steffen Dreger, Lucian Krille, Werner Maier, Roman Pokora, Maria Blettner, Hajo Zeeb

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Computed Tomography in Germany.Deutsches Arzteblatt international · 2016
    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

6 authors at 5 institutions in 2 countries.

Steffen DregerLeibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Lucian KrilleInstitute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany.
Werner MaierHelmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Institute of Health Economics and Health Care Management, Neuherberg, Germany.
Roman PokoraInstitute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany.
Maria BlettnerInstitute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany.
Hajo ZeebLeibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Johannes Gutenberg University Mainz · DECentre International de Recherche sur le Cancer · FRHelmholtz Zentrum München · DELeibniz Institute for Prevention Research and Epidemiology - BIPS · DEUniversity of Bremen · DE

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundConflicting findings were observed in recent studies assessing the association between patients' area-level socio-economic status and the received number of computed tomography (CT) examinations in children. The aim was to investigate the association between area-level socio-economic status and variation in CT examination practice for pediatric patients in Germany.

methodsData from Radiology Information Systems for children aged 0 to < 15 years without cancer who had at least one CT examination between 2001 and 2010 were extracted in 20 hospitals across Germany. The small-area German Index of Multiple Deprivation (GIMD) was used to assess regional deprivation. The GIMD scores were classified into least, medium and most deprived areas and linked with the patient's last known postal code. A multinomial logistic regression model was used to assess the association between patients' CT numbers and regional deprivation adjusting for age, sex, and location of residence (urban/rural).

resultsA total of 37,810 pediatric patients received 59,571 CT scans during the study period. 27,287 (72%) children received only one CT, while n = 885 (2.3%) received six or more. Increasing numbers of CT examinations in non-cancer patients were significantly associated with higher regional deprivation, which increased, although CI overlap, for higher CT categories: '2-3 CT' odds ratio (OR) = 1.45, 95%CI: 1.40-1.50; '4-5 CT' OR = 1.48, 95%CI: 1.38-1.59; '6+CT' OR = 1.54, 95%CI: 1.41-1.69. In addition, male sex, higher age categories, and specific body regions were positively associated with increased numbers of CT examinations.

conclusionWe observed a positive association between regional deprivation and CT numbers in non-cancer pediatric patients. Limitations of the ecological approach and the lack of differentiation of CT details have to be acknowledged. More information on CT indications is necessary for a full assessment of this finding. In addition, further work on ways to assess socio-economic status more accurately may be required.

Indexed as

Healthcare DisparitiesSocial ClassAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleGermanyHumansInfantInfant, NewbornMaleNeoplasmsRetrospective StudiesSocioeconomic FactorsTomography, X-Ray Computed

Identifiers

PMID27089125
PMCPMC4835070
OpenAlexW2338898917

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.