Evidence map›Paper›PMID 32721517›Full record

ArticleUrology2020

A Clinical Reminder Order Check Intervention to Improve Guideline-concordant Imaging Practices for Men With Prostate Cancer: A Pilot Study.

Shannon E Ciprut, Matthew D Kelly, Dawn Walter, Renee Hoffman, Daniel J Becker, Stacy Loeb, Erica Sedlander, Craig T Tenner, Scott E Sherman, Steven B Zeliadt and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03445559 (A Multi-modal, Physician-centered Intervention to Improve Guideline-concordant Prostate Cancer Imaging), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.7field-weighted citation impact, top 8% 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.

NCT03445559 naactive not recruitingnot on this map

A Multi-modal, Physician-centered Intervention to Improve Guideline-concordant Prostate Cancer Imaging

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2027Enrolled58ConditionsProstate CancerArmsClinical Order Check, Academic Detailing, Audit and Feedback
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Systematic review of interventions that improve provider compliance to imaging guidelines for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Shannon E CiprutVA New York Harbor Healthcare System, New York, NY; Department of Urology, New York University, New York, NY; Department of Population Health, New York University, New York, NY.
Matthew D KellyVA New York Harbor Healthcare System, New York, NY; Department of Urology, New York University, New York, NY; Department of Population Health, New York University, New York, NY. Electronic address: matthew.kelly@nyulangone.org.
Dawn WalterVA New York Harbor Healthcare System, New York, NY; Department of Urology, New York University, New York, NY; Department of Population Health, New York University, New York, NY.
Renee HoffmanVA New York Harbor Healthcare System, New York, NY.
Daniel J BeckerVA New York Harbor Healthcare System, New York, NY; Department of Oncology, New York University, New York, NY; Perlmutter Cancer Center, New York University, New York, NY.
Stacy LoebVA New York Harbor Healthcare System, New York, NY; Department of Urology, New York University, New York, NY; Department of Population Health, New York University, New York, NY.
Erica SedlanderDepartment of Prevention and Community Health, George Washington University, Milken Institute School of Public Health, Washington, DC.
Craig T TennerVA New York Harbor Healthcare System, New York, NY; Department of Medicine - General Internal Medicine, New York University, New York, NY.
Scott E ShermanVA New York Harbor Healthcare System, New York, NY; Department of Population Health, New York University, New York, NY.
Steven B ZeliadtHealth Services Research and Development, Department of Veterans Affairs Medical Center, Seattle, Washington; Fred Hutchinson Cancer Research Center, Seattle, WA.
Danil V MakarovVA New York Harbor Healthcare System, New York, NY; Department of Urology, New York University, New York, NY; Department of Population Health, New York University, New York, NY; Perlmutter Cancer Center, New York University, New York, NY; Robert F. Wagner Graduate School of Public Service, New York University, New York, NY.
VA NY Harbor Healthcare System · USNew York University · USGeorge Washington University · USHealth Services Research & Development · USWagner College · US

Funding

Optimizing Imaging Use Among Veterans with Prostate CancerIK2HX000851 · VA · VA MEDICAL CENTER · PI MAKAROV, DANIL V. · 2014 to 2015
–
HSRD VA I01 HX002038HSRD VA IK2 HX000851
6 · The paper itself

Abstract

objectiveTo understand how to potentially improve inappropriate prostate cancer imaging rates we used National Comprehensive Cancer Network's guidelines to design and implement a Clinical Reminder Order Check (CROC) that alerts ordering providers of potentially inappropriate imaging orders in real-time based on patient features of men diagnosed with low-risk prostate cancer.

methodsWe implemented the CROC at VA New York Harbor Healthcare System from April 2, 2015 to November 15, 2017. We then used VA administrative claims from the VA's Corporate Data Warehouse to analyze imaging rates among men with low-risk prostate cancer at VA New York Harbor Healthcare System before and after CROC implementation. We also collected and cataloged provider responses in response to overriding the CROC in qualitative analysis. RESULTS FIFTY SEVEN PERCENT: (117/205) of Veterans before CROC installation and 73% (61/83) of Veterans post-intervention with low-risk prostate cancer received guideline-concordant care.

conclusionWhile the decrease in inappropriate imaging during our study window was almost certainly due to many factors, a Computerized Patient Record System-based CROC intervention is likely associated with at least moderate improvement in guideline-concordant imaging practices for Veterans with low-risk prostate cancer.

Indexed as

Reminder SystemsEvaluation Studies as TopicGuideline AdherenceHumansMaleMedical Order Entry SystemsMedical OverusePilot ProjectsPractice Guidelines as TopicProstateProstatic NeoplasmsUnited States

Identifiers

PMID32721517
PMCPMC12512430
OpenAlexW3021821479

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.