Evidence map›Paper›PMID 32742228›Full record

ArticleThe Iowa orthopaedic journal2020

Obtaining Imaging Cost and Quality Information in Femoroacetabular Impingement: The Patient Experience.

Chris A Anthony, Edward O Rojas, Natalie Glass, Robert W Westermann, John C Clohisy, Stuart L Weinstein

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Iowa orthopaedic journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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 at 2 institutions in 1 country.

Chris A AnthonyUniversity of Iowa Hospitals and Clinics, Department of Orthopedic Surgery and Rehabilitation, Iowa City, IA.
Edward O RojasUniversity of Iowa Hospitals and Clinics, Department of Orthopedic Surgery and Rehabilitation, Iowa City, IA.
Natalie GlassUniversity of Iowa Hospitals and Clinics, Department of Orthopedic Surgery and Rehabilitation, Iowa City, IA.
Robert W WestermannUniversity of Iowa Hospitals and Clinics, Department of Orthopedic Surgery and Rehabilitation, Iowa City, IA.
John C ClohisyWashington University School of Medicine, Department of Orthopedic Surgery, Saint Louis, MO.
Stuart L WeinsteinUniversity of Iowa Hospitals and Clinics, Department of Orthopedic Surgery and Rehabilitation, Iowa City, IA.
University of Iowa Hospitals and Clinics · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recent changes in healthcare have placed increased emphasis on price transparency, quality measures, and improving the patient experience. However, limited information is available for patient cost of obtaining a hip MRI and factors associated with cost variability. For a patient with femoroacetabular impingement (FAI), this study sought to report (1) the availability of pricing and quality information for a hip magnetic resonance imaging (MRI) in the state of Iowa, (2) the time investment required to obtain pricing and quality information, and (3) factors that influence hip MRI cost, quality and the time investment required for patients to obtain cost and quality information. Methods: Within the state of Iowa, 126 unique hospital institutions and 30 active, private orthopaedic practices were identified. All 156 providers were contacted via telephone using a standardized script of a hypothetical 25-year-old adult male patient with FAI requesting a quote for a hip MRI. Cost of the MRI and its components, availability of payment discounts, and MRI magnet tesla (T) were requested. A final bundled cost (FBC) was calculated for each MRI provider with all available services and discounts applied. The total amount of time needed to obtain a quote from each location was recorded. Results: One hundred and thirty-six of the 156 institutions contacted provided hip MRI services (87%). Median call duration was 9.1 minutes (Range 2.3-25.6). Median FBC was $2,114.00 (Range $484.75-4,463.00) across all providers. Hospital median FBC was $2,261.70 (Range $909.62-4,463.00) versus $1,225.13 (Range $484.75-2,218.40) for independent imaging centers (P<0.0001). No difference in median cost was observed between nine available 3.0 T machines and eighty-nine 1.5 T machines (P=0.2655). Conclusions: MRI cost varies widely across the state of Iowa and within individual metropolitan areas. Hip MRIs cost less at independent imaging centers compared to hospital locations. The amount of time required to obtain quality and cost data for a hip MRI presents a substantial time burden for patients with FAI. Surgeons, healthcare systems, and policy makers should be cognizant of the large price differences for a hip MRI and the time burden placed on patients with FAI to obtain this information.

Indexed as

AdultCosts and Cost AnalysisDelivery of Health CareFemoracetabular ImpingementHumansIowaMagnetic Resonance ImagingMalecost analysisfemoroacetabular impingement (fai)imaging qualitymagnetic resonance imaging (mri)

Identifiers

PMID32742228
PMCPMC7368542
OpenAlexW3048027665

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.