Evidence map›Paper›PMID 31925971›Full record

ArticleStatistics in medicine2020

Modeling peer effect modification by network strength: The diffusion of implantable cardioverter defibrillators in the US hospital network.

A James O'Malley, Erika L Moen, Julie P W Bynum, Andrea M Austin, Jonathan S Skinner

Open access · bronzeAbstract read
In one paragraph

Article in Statistics in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 7% of its field
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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

A James O'MalleyDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.ORCID 0000-0002-5553-8874
Erika L MoenDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Julie P W BynumDepartment of Medicine, University of Michigan, Ann Arbor, Michigan.
Andrea M AustinThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Jonathan S SkinnerDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Dartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USUniversity of Michigan · US

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Alistair James O'MALLEY · 2001 to 2026
$52.9M
Technology Diffusion, Health Outcomes, and Healthcare ExpendituresU01AG046830 · NIA · DARTMOUTH COLLEGE · PI SKINNER, JONATHAN S · 2013 to 2017
$4.5M
NIA NIH HHS P01 AG019783NIA NIH HHS U01 AG046830
6 · The paper itself

Abstract

We develop methodology that allows peer effects (also referred to as social influence and contagion) to be modified by the structural importance of the focal actor's position in the network. The methodology is first developed for a single peer effect and then extended to simultaneously model multiple peer-effects and their modifications by the structural importance of the focal actor. This work is motivated by the diffusion of implantable cardioverter defibrillators (ICDs) in patients with congestive heart failure across a cardiovascular disease patient-sharing network of United States hospitals. We apply the general methodology to estimate peer effects for the adoption of capability to implant ICDs, the number of ICD implants performed by hospitals that are capable, and the number of patients referred to other hospitals by noncapable hospitals. Applying our novel methodology to study ICD diffusion across hospitals, we find evidence that exposure to ICD-capable peer hospitals is strongly associated with the chance a hospital becomes ICD-capable and that the direction and magnitude of the association is extensively modified by the strength of that hospital's position in the network, even after controlling for effects of geography. Therefore, interhospital networks, rather than geography per se, may explain key patterns of regional variations in healthcare utilization.

Indexed as

Cardiovascular DiseasesDefibrillators, ImplantableHeart FailureHospitalsHumansReferral and ConsultationRegistriesUnited Stateshierarchical modelimplantable cardioverter defibrillatorlongitudinal modelnationwide hospital networkpeer effectsocial network analysis

Identifiers

PMID31925971
PMCPMC7450416
OpenAlexW3000408255

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.