Evidence map›Paper›PMID 33875400›Full record

ArticleJournal of medical imaging and radiation sciences2021

Cost benefit analysis of portable chest radiography through glass: Initial experience at a tertiary care centre during COVID-19 pandemic.

Tian Yang Liu, Archana Rai, Noah Ditkofsky, Djeven P Deva, Timothy R Dowdell, Alun Duncan Ackery, Shobhit Mathur

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical imaging and radiation sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  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

7 authors at 2 institutions in 1 country.

Tian Yang LiuDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8. Electronic address: darrentian.liu@mail.utoronto.ca.
Archana RaiDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8.
Noah DitkofskyDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8.
Djeven P DevaDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8; Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, 209 Victoria Street, Toronto, ON, Canada. M5B 1T8.
Timothy R DowdellDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8.
Alun Duncan AckeryDepartment of Emergency Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Shobhit MathurDepartment of Radiology, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, Canada. M5B 1W8.
St. Michael's Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPortable chest radiography through glass (TG-CXR) is a novel technique, particularly useful during the COVID-19 (Coronavirus disease 2019) pandemic. The purpose of this study was to understand the cost and benefit of adopting TG-CXR in quantifiable terms.

methodsPortable or bedside radiographs are typically performed by a team of two technologists. The TG-CXR method has the benefit of allowing one technologist to stay outside of the patient room while operating the portable radiography machine, reducing PPE use, decreasing the frequency of radiography machine sanitization and decreasing technologists' exposures to potentially infectious patients. The cost of implementing this technique during the current COVID-19 pandemic was obtained from our department's operational database. The direct cost of routinely used PPE and sanitization materials and the cost of the time taken by the technologists to clean the machine was used to form a quantitative picture of the benefit associated with TG-CXR technique.

resultsTechnologists were trained on the TG-CXR method during a 15 min shift change briefing. This translated to a one-time cost of $424.88 USD. There was an average reduction of portable radiography machine downtime of 4 min and 48 s per study. The benefit of adopting the TG-CXR technique was $9.87 USD per patient imaged. This will result in a projected net cost savings of $51,451.84 USD per annum.

conclusionAdoption of the TG-CXR technique during the COVID-19 pandemic involved minimal one-time cost, but is projected to result in a net-benefit of over $51,000 USD per annum in our emergency department.

Indexed as

Cost-Benefit AnalysisCOVID-19GlassHumansPoint-of-Care TestingRadiography, ThoracicTertiary Care CentersChest radiographCost-benefitCOVID-19PortableProcess-improvement

Identifiers

PMID33875400
PMCPMC8026266
OpenAlexW3141117881

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.