Evidence map›Paper›PMID 29964278›Full record

ArticleJournal of hospital medicine2018

Impact of Clinical Specialty on Attitudes Regarding Overuse of Inpatient Laboratory Testing.

Deborah Korenstein, Solomon Husain, Renee L Gennarelli, Cilian White, James N Masciale, Benjamin R Roman

Abstract read
In one paragraph

Article in Journal of hospital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Testing wisely: toward more efficient laboratory utilization.Proceedings (Baylor University. Medical Center) · 2024
    Article
  9. Article
  10. 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.

Deborah KorensteinMemorial Sloan Kettering Cancer Center, Department of Medicine, New York, New York, USA. korenstd@mskcc.org.
Solomon HusainMemorial Sloan Kettering Cancer Center, Department of Surgery, Head & Neck Division, New York, New York, USA.
Renee L GennarelliMemorial Sloan Kettering Cancer Center, Center for Health Policy and Outcomes, New York, New York, USA.
Cilian WhiteMorristown Medical Center, Department of Medicine, Morristown, New Jersey, USA.
James N MascialeMemorial Sloan Kettering Cancer Center, Department of Quality and Safety, New York, New York, USA.
Benjamin R RomanMemorial Sloan Kettering Cancer Center, Center for Health Policy and Outcomes, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Routine laboratory testing is common among hospitalized patients, with associated harm. Attitudes toward testing and drivers across clinical specialties have not been described. We performed a cross-sectional study and anonymously surveyed inpatient clinicians (nurses, advanced practice providers, and physicians) at a tertiary cancer center regarding attitudes toward unnecessary laboratory testing and its drivers across clinical specialties. A total of 837 providers completed surveys (response rate 53%). Most respondents agreed with daily testing of hospitalized patients and that daily labs generally enhance safety, and those from pediatric and surgical specialties generally valued testing less than others. Participants most commonly indentified habit and institutional culture as important drivers of unnecessary testing. There were differences in other drivers across specialties, with pediatric clinicians identifying family pressure more commonly and fear of litigation less commonly compared to others. Future interventions to reduce unnecessary inpatient laboratory testing should acknowledge different attitudes based on specialty and tailor interventions accordingly.

Indexed as

Attitude of Health PersonnelCross-Sectional StudiesDiagnostic Tests, RoutineFemaleHumansInpatientsMaleMedical OverusePhysiciansPractice Patterns, Physicians'Surveys and Questionnaires

Identifiers

PMID29964278
PMCPMC6265055

What OpenQuestion holds

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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.