Evidence map›Paper›PMID 31516165›Full record

ArticleTransactions of the American Clinical and Climatological Association2019

THE HIGH COST OF LOW VALUE CARE.

Thomas McGinn, Stuart Cohen, Sundas Khan, Safiya Richardson, Michael Oppenheim, Jason Wang

Abstract read
In one paragraph

Article in Transactions of the American Clinical and Climatological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Thomas McGinnNEW HYDE PARK, NEW YORK.
Stuart CohenNEW HYDE PARK, NEW YORK.
Sundas KhanNEW HYDE PARK, NEW YORK.
Safiya RichardsonNEW HYDE PARK, NEW YORK.
Michael OppenheimNEW HYDE PARK, NEW YORK.
Jason WangNEW HYDE PARK, NEW YORK.

Funding

Spread the Word: Integrating Clinical Prediction Rules at the Point of CareR24HS022061 · AHRQ · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI MCGINN, THOMAS G · 2013 to 2015
$900k
AHRQ HHS R24 HS022061
6 · The paper itself

Abstract

The main focus of this study is bridging the "evidence gap" between frontline decision-making in health care and the actual evidence, with the hope of reducing unnecessary diagnostic testing and treatments. From our work in pulmonary embolism (PE) and over ordering of computed tomography pulmonary angiography, we integrated the highly validated Wells' criteria into the electronic health record at two of our major academic tertiary hospitals. The Wells' clinical decision support tool triggered for patients being evaluated for PE and therefore determined a patients' pretest probability for having a PE. There were 12,759 patient visits representing 11,836 patients, 51% had no D-dimer, 41% had a negative D-dimer, and 9% had a positive D-dimer. Our study gave us an opportunity to determine which patients were very low probabilities for PE, with no need for further testing.

Indexed as

Decision Support Systems, ClinicalEvidence-Based MedicineHealth Care CostsPractice Patterns, Physicians'Professional Practice GapsAcademic Medical CentersComputed Tomography AngiographyEmergency Service, HospitalFibrin Fibrinogen Degradation ProductsHumansPulmonary EmbolismRetrospective StudiesFibrin Fibrinogen Degradation Productsfibrin fragment D

Identifiers

PMID31516165
PMCPMC6735996

What OpenQuestion holds

Textmetadata
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.