Evidence map›Paper›PMID 31891320›Full record

Observational studyRadiology2020

Trends in Diagnostic Imaging Utilization among Medicare and Commercially Insured Adults from 2003 through 2016.

Arthur S Hong, David Levin, Laurence Parker, Vijay M Rao, Dennis Ross-Degnan, J Frank Wharam

Abstract readObservational Study
In one paragraph

Observational study in Radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Evaluating artificial intelligence for comparative radiography.International journal of legal medicine · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Low-field MRI: Clinical promise and challenges.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Arthur S HongFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).ORCID 0000-0001-6516-6819
David LevinFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).ORCID 0000-0002-9927-7311
Laurence ParkerFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).
Vijay M RaoFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).
Dennis Ross-DegnanFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).
J Frank WharamFrom the Department of Internal Medicine, University of Texas Southwestern Medical Center; 5323 Harry Hines Blvd, Dallas, TX 75390-9169 (A.S.H.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.L., L.P., V.M.R.); and Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Mass (D.R.D., J.F.W.).

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
AHRQ HHS R24 HS022418NCATS NIH HHS UL1 TR001105NCI NIH HHS P30 CA142543NIA NIH HHS T32 AG023480NIMH NIH HHS T32 MH014276
6 · The paper itself

Abstract

Background Trends in noninvasive diagnostic imaging (NDI) utilization rates have predominantly been reported in Medicare enrollees. To the authors' knowledge, there has been no prior direct comparison of utilization rates between Medicare and commercially insured patients. Purpose To analyze trends in NDI utilization rates by modality, comparing Medicare fee-for-service and commercially insured enrollees. Materials and Methods This study was a retrospective trend analysis of NDI performed between 2003 and 2016 as reported in claims databases for all adults enrolled in fee-for-service Medicare and for roughly 9 million commercially insured patients per year. The commercially insured patients were divided into two populations: those aged 18-44 years and those aged 45-64 years. The same procedure code definitions for NDI were applied to both Medicare and commercial claims, rates were calculated per 1000 enrollees, and trends were reported over time in aggregate followed by modality (CT, MRI, nuclear imaging, echocardiography, US, radiography). Join-point regression was used to model annual rates and to identify statistically significant (

Indexed as

AdolescentAdultAge FactorsDatabases, FactualDiagnostic ImagingFemaleHumansInsurance, HealthMaleMedicareMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesYoung Adult

Identifiers

PMID31891320
PMCPMC6996668

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.