ArticleHealth affairs (Project Hope)2017
Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled 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.
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
61 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient, provider, and system-level factors associated with preoperative cardiac testing: A systematic review.Journal of hospital medicine · 2023Pooled it
- Overuse of diagnostic testing in healthcare: a systematic review.BMJ quality & safety · 2022Pooled it
- The influence of a MOBile-based video Instruction for Low back pain (MOBIL) on initial care decisions made by primary care providers: a randomized controlled trial.BMC family practice · 2021Trial
- Test Ordering and Completion During Virtual vs In-Person Annual Visits.JAMA network open · 2026Article
- The role of electronic health records systems in de-implementing low-value care in primary care: a scoping review.Implementation science communications · 2025Review
- Low-Cost, High-Volume Health Services Contribute the Most to Unnecessary Health Spending due to Low-Value Care in Japan.medRxiv : the preprint server for health sciences · 2025Article
- Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians.BMJ quality & safety · 2025Article
- Primary Care Physician Characteristics and Low-Value Care Provision in Japan.JAMA health forum · 2025Article
- Racial and Ethnic Differences in Low-Value Care Among Older Adults in a Large Statewide Health System.Journal of the American Geriatrics Society · 2025Article
- Increased spending on low-value care during the COVID-19 pandemic in Virginia.Health affairs scholar · 2024Article
- Changing patterns of routine laboratory testing over time at children's hospitals.Journal of hospital medicine · 2024Article
- Effect of Health Service Area on Primary Care Physician Provision of Low-Value Cancer Screening.Annals of internal medicine · 2024Article
- Plastic Surgery Tourism: Complications, Costs, and Unnecessary Spending?Aesthetic surgery journal. Open forum · 2024Article
- Lab testing overload: a comprehensive analysis of overutilization in hospital-based settings.Proceedings (Baylor University. Medical Center) · 2024Review
- Developing an electronic health record measure of low-value esophagogastroduodenoscopy for GERD at a large academic health system.BMJ open quality · 2023Article
- Identifying Strategies to Reduce Low-Value Preoperative Testing for Low-Risk Procedures: a Qualitative Study of Facilities with High or Recently Improved Levels of Testing.Journal of general internal medicine · 2023Article
- Racial differences in low value care among older adult Medicare patients in US health systems: retrospective cohort study.BMJ (Clinical research ed.) · 2023Article
- Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios.Cancer prevention research (Philadelphia, Pa.) · 2023Article
- Continuity of Care Within a Single Patient Support Program for Patients with Rheumatoid Arthritis Prescribed Second or Later Line Advanced Therapy.Advances in therapy · 2023Article
- Clinician interest in clinical decision support for PSA-based prostate cancer screening.Urologic oncology · 2023Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
- Update of
Authors and funding
6 authors.
Funding
Abstract
An analysis of data for 2014 about forty-four low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among these low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently than services that were high and very high cost ($539 or more). The combined costs of the former group were nearly twice those of the latter (65 percent versus 35 percent).
Indexed as
Identifiers
What OpenQuestion holds
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.