Evidence map›Paper›PMID 35227651›Full record

ArticleJournal of the American College of Radiology : JACR2022

Strategies for Dose Optimization: Views From Health Care Systems.

Robin R Whitebird, Leif I Solberg, Philip W Chu, Rebecca Smith-Bindman

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

4 authors at 4 institutions in 1 country.

Robin R WhitebirdProfessor, Morrison Family College of Health, School of Social Work, University of St Thomas, St Paul, Minnesota. Electronic address: rrwhitebird@stthomas.edu.
Leif I SolbergSenior Advisor and Senior Research Investigator, Health Partners Medical Group, HealthPartners Institute, Minneapolis, Minnesota.
Philip W ChuDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California.
Rebecca Smith-BindmanDirector, Radiology Outcomes Research Laboratory, Department of Radiology and Biomedical Imaging, Epidemiology and Biostatistics and the Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California.
HealthPartners · USLee University · USUniversity of California, San Francisco · USUniversity of St. Thomas - Minnesota · US

Funding

CT DOSE CollaboratoryR01CA181191 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SMITH-BINDMAN, REBECCA · 2014 to 2019
$6.2M
NCI NIH HHS R01 CA181191
6 · The paper itself

Abstract

backgroundAdvances in CT have facilitated widespread use of medical imaging while increasing patient lifetime exposure to ionizing radiation. PURPOSE: To describe dose optimization strategies used by health care organizations to optimize radiation dose and image quality. MATERIALS AND

methodsA qualitative study of semistructured interviews conducted with 26 leaders from 19 health care systems in the United States, Europe, and Japan. Interviews focused on strategies that were used to optimize radiation dose at the organizational level. A directed content analysis approach was used in data analysis.

resultsAnalysis identified seven organizational strategies used by these leaders for optimizing CT dose: (1) engaging radiologists and technologists, (2) establishing a CT dose committee, (3) managing organizational change, (4) providing leadership and support, (5) monitoring and benchmarking, (6) modifying CT protocols, and (7) changes in equipment and work rules.

conclusionsLeaders in these health systems engaged in specific strategies to optimize CT dose within their organizations. The strategies address challenges health systems encounter in optimizing CT dose at the organizational level and offer an evolving framework for consideration in dose optimization efforts for enhancing safety and use of medical imaging.

Indexed as

Delivery of Health CareLeadershipDiagnostic ImagingEuropeHumansOrganizational InnovationUnited StatesCThealth resourcesorganizational cultureradiation dosage

Identifiers

PMID35227651
PMCPMC9083375
OpenAlexW4214681590

What OpenQuestion holds

Textmetadata
LicenceTDM
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.