ArticlePediatrics2016
Use of Low-Value Pediatric Services Among the Commercially Insured.
Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.
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.
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
30 citing papers in PubMed.
- Frequency, cost, and variation in inpatient diagnostic imaging use in children's hospitals.Journal of hospital medicine · 2026Article
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- Changing patterns of routine laboratory testing over time at children's hospitals.Journal of hospital medicine · 2024Article
- Evaluation of claims data from a commercial value-based insurance product shows pediatric imaging is not a major driver of overall or pediatric healthcare expenditures.Pediatric radiology · 2024Article
- Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management.Cureus · 2023Review
- Prescribed medicine use and extent of off-label use according to age in a nationwide sample of Australian children.Paediatric and perinatal epidemiology · 2022Article
- Assessment of Underuse and Overuse of Screening Tests for Co-occurring Conditions Among Children With Obesity.JAMA network open · 2022Article
- Analysis of Racial and Ethnic Diversity of Population Served and Imaging Used in US Children's Hospital Emergency Departments.JAMA network open · 2022Article
- Association between dispensing of low-value oral albuterol and removal from Medicaid preferred drug lists.BMC health services research · 2022Article
- Physician Practice Pattern Variations in Common Clinical Scenarios Within 5 US Metropolitan Areas.JAMA health forum · 2022Article
- Development and Use of a Calculator to Measure Pediatric Low-Value Care Delivered in US Children's Hospitals.JAMA network open · 2021Article
- Low-value care and excess out-of-pocket expenditure among older adults with incident cancer - A machine learning approach.Journal of cancer policy · 2021Article
- Article
- An Evidence Review of Low-Value Care Recommendations: Inconsistency and Lack of Economic Evidence Considered.Journal of general internal medicine · 2021Review
- Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis.Pediatrics · 2021Article
- Low-Value Diagnostic Imaging in Children with Medicaid.The Journal of pediatrics · 2021Article
- The treatment of streptococcal tonsillitis/pharyngitis in young children.World journal of otorhinolaryngology - head and neck surgery · 2021Review
- Differences in the Receipt of Low-Value Services Between Publicly and Privately Insured Children.Pediatrics · 2020Article
- [Pediatrics up to date-brief notes on research].Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde · 2020Article
Corrections and comments
- Commented on byChoosing Wrong.2016
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
backgroundClaims-based measures of "low-value" pediatric services could facilitate the implementation of interventions to reduce the provision of potentially harmful services to children. However, few such measures have been developed.
methodsWe developed claims-based measures of 20 services that typically do not improve child health according to evidence-based guidelines (eg, cough and cold medicines). Using these measures and claims from 4.4 million commercially insured US children in the 2014 Truven MarketScan Commercial Claims and Encounters database, we calculated the proportion of children who received at least 1 low-value pediatric service during the year, as well as total and out-of-pocket spending on these services. We report estimates based on "narrow" measures designed to only capture instances of service use that were low-value. To assess the sensitivity of results to measure specification, we also reported estimates based on "broad measures" designed to capture most instances of service use that were low-value.
resultsAccording to the narrow measures, 9.6% of children in our sample received at least 1 of the 20 low-value services during the year, resulting in $27.0 million in spending, of which $9.2 million was paid out-of-pocket (33.9%). According to the broad measures, 14.0% of children in our sample received at least 1 of the 20 low-value services during the year.
conclusionsAccording to a novel set of claims-based measures, at least 1 in 10 children in our sample received low-value pediatric services during 2014. Estimates of low-value pediatric service use may vary substantially with measure specification.
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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.