Evidence map›Paper›PMID 35833167›Full record

ArticleRadiology. Cardiothoracic imaging2022

What the Baby Formula and Medical Contrast Material Shortages Have in Common: Insights and Recommendations for Managing the Iodinated Contrast Media Shortage.

Lakshmi Ananthakrishnan, Fernando U Kay, Eric A Zeikus, Eugene S Chu, Joseph Chang, John D Barr, Neil M Rofsky, Suhny Abbara

Open access · greenAbstract read
In one paragraph

Article in Radiology. Cardiothoracic imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 33% 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

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

  1. Pooled it
  2. A global contrast shortage: a descriptive study exploring IV contrast utilization and outcomes in trauma patients at a level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Radiology. Cardiothoracic imaging · 2023
    Review
  8. 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

8 authors at 2 institutions in 1 country.

Lakshmi AnanthakrishnanDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0001-8597-9964
Fernando U KayDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0002-9467-2013
Eric A ZeikusDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0001-8656-7785
Eugene S ChuDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0001-5450-5539
Joseph ChangDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0002-2563-6908
John D BarrDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0002-5591-979X
Neil M RofskyDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0002-1207-3704
Suhny AbbaraDepartments of Radiology (L.A., F.U.K., E.A.Z., J.D.B., N.M.R., S.A.) and Internal Medicine (E.S.C.), UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390; and Division of Hospital Medicine (E.S.C.) and Chief Medical Officer (J.C.), Parkland Health, Dallas, Tex.ORCID https://orcid.org/0000-0003-2552-7362
Southwestern Medical Center · USParkland Health & Hospital System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of supply chain and supply chain logistics, including personnel directly and indirectly related to the movement of supplies, has come to light in a variety of industries since the global COVID-19 pandemic. Acutely, the experience with baby formula and iodinated contrast material exposes key vulnerabilities to supply chains. The rather sudden diminished availability of iodinated contrast material has forced health care systems to engage in more judicious use of product through catalyzing the adoption of behaviors that had been recommended and deemed reasonable prior to the shortage. The authors describe efforts at a large, academic safety net county health system to conserve iodinated contrast media by optimizing contrast media use in the CT department and changing ordering patterns of referring providers. Special attention is given to opportunities to conserve contrast material in cardiothoracic imaging, including low kV and dual-energy CT techniques. A values-based leadership philosophy and collaboration with key stakeholders facilitate effective response to the critical shortage and rapid deployment of iodinated contrast media conservation strategies. Last, while the single-supplier model is efficient and cost-effective, its application to critically necessary services such as health care must be questioned considering disruptions related to the COVID-19 pandemic.

Indexed as

CTCT-Spectral Imaging (Dual Energy)Intravenous Contrast Agents

Identifiers

PMID35833167
PMCPMC9274312
OpenAlexW4281493878

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.