Evidence map›Paper›PMID 39185094›Full record

ArticleNeurology. Clinical practice2024

Using Design Thinking to Understand the Reason for Headache Referrals and Reduce Referral Rates.

Ashish D Patel, Mallory Sponenberg, Leeann Webster, Sara Cole, Edward Stefanowicz, Jason A Dinko, Brian Seeley, Scott Friedenberg

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Ashish D PatelNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0000-0001-8990-1849
Mallory SponenbergNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0001-3433-1153
Leeann WebsterNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0009-4465-224X
Sara ColeNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0004-5668-1981
Edward StefanowiczNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0000-5711-287X
Jason A DinkoNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0008-2577-843X
Brian SeeleyNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0002-4728-0479
Scott FriedenbergNeurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.ORCID https://orcid.org/0009-0001-7998-1176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The demand for neurology services exceeds the current supply. We convened multiple stakeholders to learn what drives our primary care providers (PCPs) to refer patients with headache to our neurology practice. This information guided a collaborative effort to evaluate the impact of an electronic health record (EHR) headache tool on care delivery in our PCP clinics. Recent Findings: Neurology referrals and MRI ordering declined by 77% and 35%, respectively, after the release of the EHR tool for an estimated savings of $207,600 over 3 months. PCPs prescribing habits minimally changed. Implications for Practice: Electronically embedding a neurologist's knowledge in our PCP office was an effective way to shape the demand for headache consultation. By further leveraging stakeholder collaboration, we plan to improve the tool and disseminate it across our health system to reduce headache burden and health care costs.

Identifiers

PMID39185094
PMCPMC11341001

What OpenQuestion holds

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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.