Evidence map›Paper›PMID 33268831›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Cost of clinician-driven tests and treatments in very low birth weight and/or very preterm infants.

Brian C King, Troy Richardson, Ravi M Patel, Henry C Lee, Nicolas A Bamat, Stephen W Patrick, Kanekal S Gautham, Matthew Hall, Jonathan L Slaughter

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Trends in admissions and costs for neonatal intensive care in US children's hospitals, 2017-2022.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Managing established bronchopulmonary dysplasia without using routine blood gas measurements.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  6. Article
  7. Non-invasive continuous cardiac output monitoring in infants with hypoxic ischaemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Observational
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

9 authors at 7 institutions in 1 country.

Brian C KingSection of Neonatology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA. bcking@bcm.edu.ORCID http://orcid.org/0000-0002-2629-417X
Troy RichardsonChildren's Hospital Association, Lenexa, KS, USA.
Ravi M PatelDivision of Neonatology, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-7444-5550
Henry C LeeDivision of Neonatology, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8383-1720
Nicolas A BamatDivison of Neonatology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6427-093X
Stephen W PatrickVanderbilt Center for Child Health Policy, Departments of Pediatrics and Health Policy, Division of Neonatology, Vanderbilt University Medical Center, Nashville, TN, USA.
Kanekal S GauthamSection of Neonatology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Matthew HallChildren's Hospital Association, Lenexa, KS, USA.
Jonathan L SlaughterDivison of Neonatology, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-6831-7520
Baylor College of Medicine · USChildren's Hospital Association · USChildren's Hospital of Philadelphia · USEmory University · USNationwide Children's Hospital · USStanford University · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo rank clinician-driven tests and treatments (CTTs) by their total cost during the birth hospitalization for preterm infants. STUDY

designRetrospective cohort of very low birth weight (<1500 g) and/or very preterm (<32 weeks) subjects admitted to US children's hospital Neonatal Intensive Care Units (2012-2018). CTTs were defined as pharmaceutical, laboratory and imaging services and ranked by total cost.

results24,099 infants from 51 hospitals were included. Parenteral nutrition ($85M, 32% of pharmacy costs), blood gas analysis ($34M, 29% of laboratory costs), and chest radiographs ($18M, 31% of imaging costs) were the costliest CTTs overall. More than half of CTT-related costs occurred during 10% of hospital days.

conclusionsThe majority of CTT-related costs were from commonly used tests and treatments. Targeted efforts to improve value in neonatal care may benefit most from focusing on reducing unnecessary utilization of common tests and treatments, rather than infrequently used ones.

Indexed as

Infant, PrematureInfant, Premature, DiseasesBirth WeightChildHumansInfantInfant, NewbornInfant, Very Low Birth WeightIntensive Care Units, NeonatalRetrospective Studies

Identifiers

PMID33268831
OpenAlexW3110099365

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.