Evidence map›Paper›PMID 28498197›Full record

SynthesisMedical care2017

Overuse of Health Care Services in the Management of Cancer: A Systematic Review.

Shrujal S Baxi, Minal Kale, Salomeh Keyhani, Benjamin R Roman, Annie Yang, Antonio P Derosa, Deborah Korenstein

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Medical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
25.1field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Factors Associated With the Overuse of Colorectal Cancer Screening: A Systematic Review.American journal of medical quality : the official journal of the American College of Medical Quality
    Pooled it
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  5. Review
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  9. Trends in low-value cancer care during the COVID-19 pandemic.The American journal of managed care · 2024
    Article
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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

7 authors at 3 institutions in 1 country.

Shrujal S Baxi*Department of Medicine, Head and Neck Oncology Service, Memorial Sloan Kettering Cancer Center †Department of Medicine, Mount Sinai Hospital, New York, NY ‡Department of Medicine, University of California San Francisco, San Francisco, CA §Department of Surgery ∥Center for Health Policy and Outcomes ¶Medical Library, Memorial Sloan Kettering Cancer Center, New York, NY.
Minal Kale
Salomeh Keyhani
Benjamin R Roman
Annie Yang
Antonio P Derosa
Deborah Korenstein
Memorial Sloan Kettering Cancer Center · USMount Sinai Hospital · USUniversity of California, San Francisco · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Evaluating the Effectiveness of Lung Cancer Screening in Patients with COPDK07CA187071 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KALE, MINAL S · 2014 to 2018
$843k
NCI NIH HHS K07 CA187071NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundOveruse, the provision of health services for which harms outweigh the benefits, results in suboptimal patient care and may contribute to the rising costs of cancer care. We performed a systematic review of the evidence on overuse in oncology.

methodsWe searched Medline, EMBASE, the Cochrane Library, Web of Science, SCOPUS databases, and 2 grey literature sources, for articles published between December 1, 2011 and March 10, 2017. We included publications from December 2011 to evaluate the literature since the inception of the ABIM Foundation's Choosing Wisely initiative in 2012. We included original research articles quantifying overuse of any medical service in patients with a cancer diagnosis when utilizing an acceptable standard to define care appropriateness, excluding studies of cancer screening. One of 4 investigator reviewed titles and abstracts and 2 of 4 reviewed each full-text article and extracted data. Methodology used PRISMA guidelines.

resultsWe identified 59 articles measuring overuse of 154 services related to imaging, procedures, and therapeutics in cancer management. The majority of studies addressed adult or geriatric patients (98%) and focused on US populations (76%); the most studied services were diagnostic imaging in low-risk prostate and breast cancer. Few studies evaluated active cancer therapeutics or interventions aimed at reducing overuse. Rates of overuse varied widely among services and among studies of the same service.

conclusionsDespite recent attention to overuse in cancer, evidence identifying areas of overuse remains limited. Broader investigation, including assessment of active cancer treatment, is critical for identifying improvement targets to optimize value in cancer care.

Indexed as

Health Services MisuseNeoplasmsHealth Services ResearchHumansQuality of Health Care

Identifiers

PMID28498197
PMCPMC5494971
OpenAlexW2612548925

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.