Evidence map›Paper›PMID 29506573›Full record

ArticleBMC research notes2018

Developing indicators for measuring low-value care: mapping Choosing Wisely recommendations to hospital data.

Kelsey Chalmers, Tim Badgery-Parker, Sallie-Anne Pearson, Jonathan Brett, Ian A Scott, Adam G Elshaug

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Value-Based Healthcare Initiatives in Practice: A Systematic Review.Journal of healthcare management / American College of Healthcare Executives · 2021
    Pooled it
  4. Trial
  5. Review
  6. Marginal Dispositions and Shared Decision-Making Among Older Adults in the ED: A Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Measuring low-value care in hospital discharge records: evidence from China.The Lancet regional health. Western Pacific · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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.

Kelsey ChalmersMenzies Centre for Health Policy, School of Public Health, Charles Perkins Centre, University of Sydney, Sydney, NSW, 2006, Australia. kelsey.chalmers@sydney.edu.au.ORCID http://orcid.org/0000-0001-7291-8898
Tim Badgery-ParkerMenzies Centre for Health Policy, School of Public Health, Charles Perkins Centre, University of Sydney, Sydney, NSW, 2006, Australia. tim.badgeryparker@sydney.edu.au.ORCID http://orcid.org/0000-0002-1275-1130
Sallie-Anne PearsonMedicines Policy Research Unit, Centre for Big Data Research in Health, University of New South Wales, Level 1, AGSM Building, Sydney, NSW, 2052, Australia.ORCID http://orcid.org/0000-0001-7137-6855
Jonathan BrettMedicines Policy Research Unit, Centre for Big Data Research in Health, University of New South Wales, Level 1, AGSM Building, Sydney, NSW, 2052, Australia.ORCID http://orcid.org/0000-0003-3065-7495
Ian A ScottPrincess Alexandra Hospital, Brisbane, QLD, 4102, Australia.ORCID http://orcid.org/0000-0002-7596-0837
Adam G ElshaugMenzies Centre for Health Policy, School of Public Health, Charles Perkins Centre, University of Sydney, Sydney, NSW, 2006, Australia.ORCID http://orcid.org/0000-0002-4939-5379

Funding

National Health and Medical Research Council 1060407National Health and Medical Research Council 1094304National Health and Medical Research Council 1109626
6 · The paper itself

Abstract

objectiveLow-value health care refers to interventions where the risk of harm or costs exceeds the likely benefit for a patient. We aimed to develop indicators of low-value care, based on selected Choosing Wisely (CW) recommendations, applicable to routinely collected, hospital claims data.

resultsWe assessed 824 recommendations from the United States, Canada, Australia and the United Kingdom CW lists regarding their capacity to be measured in administrative hospital admissions datasets. We selected recommendations if they met the following criteria: the service occurred in the hospital setting (observable in setting); a claim recorded the use of the service (record of service); the appropriate/inappropriate use of the service could be mapped to information within the hospital claim (indication); and the service is consistently recorded in the claims (consistent documentation). We identified 17 recommendations (15 services) as measurable. We then developed low-value care indicators for two hospital datasets based on the selected recommendations, previously published indicators, and clinical input.

Indexed as

Quality Indicators, Health CareAustraliaCanadaDatasets as TopicHealth Services ResearchHospitalsHumansUnited KingdomUnited StatesChoosing WiselyDisinvestmentHospitalsInappropriate careLow-value careQuality measurementQuality of health care

Identifiers

PMID29506573
PMCPMC5836437

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.