Evidence map›Paper›PMID 30482736›Full record

ArticleJournal of the American College of Radiology : JACR2019

Patient-Centered Outcomes Related to Imaging Testing in US Primary Care.

Monica L Zigman Suchsland, Elizabeth Witwer, Anjali R Truitt, Danielle C Lavallee, Ying Zhang, Philip Posner, Brian Do, Patrick M Bossuyt, Victoria Hardy, Matthew J Thompson

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Patients' requests for radiological imaging: A qualitative study on general practitioners' perspectives.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Provider Perspectives of Patient Experiences in Primary Care Imaging.Journal of the American Board of Family Medicine : JABFM
    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

10 authors.

Monica L Zigman SuchslandDepartments of Family Medicine, University of Washington, Seattle, Washington. Electronic address: mzigman@uw.edu.
Elizabeth WitwerDepartments of Family Medicine, University of Washington, Seattle, Washington.
Anjali R TruittSurgical Outcomes Research Center at the Department of Surgery, University of Washington, Seattle, Washington.
Danielle C LavalleeSurgical Outcomes Research Center at the Department of Surgery, University of Washington, Seattle, Washington.
Ying ZhangDepartments of Family Medicine, University of Washington, Seattle, Washington.
Philip PosnerOak Ridge Associated Universities, Scientific Assessment and Workforce Development Program, Oak Ridge, Tennessee.
Brian DoDepartment of Biology, University of Washington, Seattle, Washington.
Patrick M BossuytDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Victoria HardyDepartments of Family Medicine, University of Washington, Seattle, Washington.
Matthew J ThompsonDepartments of Family Medicine, University of Washington, Seattle, Washington.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319NCRR NIH HHS UL1 RR025014
6 · The paper itself

Abstract

backgroundImaging tests are one of the most sophisticated types of diagnostic tools used in health care, yet there are concerns that imaging is overused. Currently, tests are typically evaluated and implemented based on their accuracy, and there is limited knowledge about the range of patient-centered outcomes (PCOs) that imaging tests may lead to. This study explores patients' experiences and subsequent outcomes of imaging tests most notable to patients.

methodsAdult patients from four primary care clinics who had an x-ray, CT, MRI, or ultrasound in the 12 months before recruitment participated in a single semistructured interview to recount their imaging experience. Interview transcripts were analyzed thematically.

resultsFour themes related to PCOs were identified from 45 interviews. Participants' mean age was 53 years (25-83 years), 30 had undergone a diagnostic imaging test, and 15 underwent imaging for screening or monitoring. Themes included knowledge gained from the imaging test, its contribution to their overall health care journey, physical experiences during the test procedure, and impacts of the testing process on emotions.

conclusionsPatients identified various imaging test outcomes that were important to them. Measurement and reporting these outcomes should be considered more often in diagnostic research. Tools for providers and patients to discuss and utilize these outcomes may help promote shared decision making around the use and impact of imaging tests.

Indexed as

Diagnostic ImagingOutcome Assessment, Health CarePatient-Centered CarePrimary Health CareAdultAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle Agedimagingpatient-centered outcomespatient-reported experienceRadiology

Identifiers

PMID30482736
PMCPMC7050575

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.