Evidence map›Paper›PMID 34239730›Full record

ArticleRadiology research and practice2021

Health Insurance Ownership and Quality of Computed Tomography Requests: Experience from a Peripheral Referral Hospital in Cameroon.

Joshua Tambe, Yannick Onana, Sylviane Dongmo, Georges Nguefack-Tsague, Pierre Ongolo-Zogo

Abstract read
In one paragraph

Article in Radiology research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Thoracic aortic aneurysm.Nature reviews. Disease primers · 2025
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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.

Joshua TambeDivision of Radiology, Department of Internal Medicine and Pediatrics, University of Buea, Buea, Cameroon.ORCID https://orcid.org/0000-0001-7966-2637
Yannick OnanaDepartment of Clinical Sciences, University of Ngaoundéré, Ngaoundéré, Cameroon.
Sylviane DongmoDivision of Radiology, Department of Internal Medicine and Pediatrics, University of Buea, Buea, Cameroon.
Georges Nguefack-TsagueBiostatistics Unit, Department of Public Health, The University of Yaoundé I, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-3847-3490
Pierre Ongolo-ZogoDepartment of Public Health, Centre for Research and Training in Graduate Studies in Life, Health and Environmental Sciences, The University of Yaoundé I, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0001-5941-1048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth insurance ownership facilitates access and minimizes financial hardship after utilization of healthcare services such as computed tomography (CT). Understanding the rational utilization of CT by people with health insurance can help optimize the scheme and provide baseline information for a national universal health coverage program.

objectiveTo assess the relationship between health insurance ownership and the appropriateness of requests for CT in a peripheral referral hospital in Cameroon.

methodsA survey of CT users was conducted during which information on health insurance ownership was collected and the request forms for CT assessed for appropriateness using the American College of Radiologists (ACR) Appropriateness Criteria®.

resultsWe consecutively enrolled 372 participants of which 167 (45%) were females. The median age (range) was 52 (18-92) years. Thirty-eight out of 370 participants reported having health insurance (10.3%; 95% confidence interval (CI): 7.2%-13.4%). Twenty-nine out of 352 CT scan requests (8.2%; 95% CI: 5.3-11.0) were judged to be "inappropriate." The proportion of inappropriate scan requests was higher amongst people with health insurance compared to those without health insurance (18.4% vs. 7.0%;

conclusionsInappropriate requests for CT were low but nevertheless associated to health insurance ownership. The continuous sensitization and training of physicians would help minimize potential wasteful utilization of resources.

Identifiers

PMID34239730
PMCPMC8241523

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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.