Advanced Imaging Utilization Trends in Privately Insured Patients From 2007 to 2013

Horný, Michal; Burgess, James; Cohen, Alan B.

doi:10.1016/j.jacr.2015.09.013

Cited by 16 publications

(7 citation statements)

References 10 publications

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“…A study by Horný, Burgess, and Cohen 50 from 2011 to 2013 showed that visits resulting in CT decreased over time, and diagnostic ultrasonography increased at a higher rate than the decrease in CT use. In our cohort of the present study, the pediatric population had a decrease in CT use since 2010.…”

Section: Discussionmentioning

confidence: 99%

Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission

Bellolio¹,

Heien

Sangaralingham

et al. 2017

WestJEM

116

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IntroductionOur goal was to investigate trends in computed tomography (CT) utilization in emergency departments (EDs) and its association with hospitalization.MethodsWe conducted an analysis of an administrative claims database of U.S. privately insured and Medicare Advantage enrollees. We identified ED visits from 2005 through 2013 and assessed for CT use, associated factors, and hospitalization after CT, along with patient demographics. We used both descriptive methods and regression models adjusted for year, age, sex, race, geographic region, and Hwang comorbidity score to explore associations among CT use, year, demographic characteristics, and hospitalization.ResultsWe identified 33,144,233 ED visits; 5,901,603 (17.8%) involved CT. Over time, CT use during ED visits increased 59.9%. CT use increased in all age groups but decreased in children since 2010. In propensity-matching analysis, odds of hospitalization increased with age, comorbidities, male sex, and CT use (odds ratio, 2.38). Odds of hospitalization over time decreased more quickly for patients with CT.ConclusionCT utilization in the ED has increased significantly from 2005 through 2013. For children, CT use after 2010 decreased, indicating caution about CT use. Male sex, older age, and higher number of comorbidities were predictors of CT in the ED. Over time, odds of hospitalization decreased more quickly for patients with CT.

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Section: Discussionmentioning

confidence: 99%

Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission

Bellolio¹,

Heien

Sangaralingham

et al. 2017

WestJEM

116

View full text Add to dashboard Cite

show abstract

“…Income was the only control variable associated with intentions to complete ultrasound screening to improve the chance of finding cancer. Results of a study to assess advance imaging utilization trends in privately insured patients from 2007 to 2013 indicated that payments (adjusted for inflation) per person-year for outpatient ultrasound procedures increased every year covered by the study due to increase in utilization [24]. Breast density notification laws do not tend to require insurance coverage for supplemental screening.…”

Section: Discussionmentioning

confidence: 99%

Breast Density Awareness and Knowledge, and Intentions for Breast Cancer Screening in a Diverse Sample of Women Age Eligible for Mammography

et al. 2017

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The objectives of this study were to assess breast density knowledge and breast density awareness, and to identify information associated with intention to complete routine and supplemental screening for breast cancer in a diverse sample of women age eligible for mammography. We quantitatively (self-report) assessed breast density awareness and knowledge (N = 264) in black (47.7%), Latina (35.2%), and white (17%) women recruited online and in the community. Most participants reported having heard about breast density (69.2%); less than one third knew their own breast density status (30.4%). Knowing their own breast density, believing that women should be notified of their breast density in their mammogram report, and feeling informed if being provided this information are associated with likelihood of completing mammogram. Intending mammogram completion and knowledge regarding the impact of breast density on mammogram accuracy are associated with likelihood of completing supplemental ultrasound tests of the breast. These findings help inform practitioners and policy makers about information and communication factors that influence breast cancer screening concerns and decisions. Knowing this information should prepare practitioners to better identify women who may have not been exposed to breast density messages.

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“…As health information sharing technologies continue to penetrate across hospitals and clinical practices, Jung et al [3] measure the effect of health information exchanges on repeat imaging cost, whereas Vest et al [4] summarize the literature on the effect of image sharing technologies on unnecessary imaging. Using private payer claims data, Horný et al [5] replicate trends in declining utilization of advanced imaging previously seen only in Medicare patients, demonstrating the generalizability of that trend. Deyo et al [6] show that Medicare patients diagnosed with chronic conditions use imaging services at a higher rate and cost for up to six years before diagnosis compared with those who were not diagnosed with chronic conditions.…”

Section: Nonradiologists' Perspectives On Health Services Research and Policy In Radiologymentioning

confidence: 73%

Nonradiologists’ Perspectives on Health Services Research and Policy in Radiology

Duszak

Hughes

Carlos

2015

Journal of the American College of Radiology

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Advanced Imaging Utilization Trends in Privately Insured Patients From 2007 to 2013

Cited by 16 publications

References 10 publications

Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission

Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission

Breast Density Awareness and Knowledge, and Intentions for Breast Cancer Screening in a Diverse Sample of Women Age Eligible for Mammography

Nonradiologists’ Perspectives on Health Services Research and Policy in Radiology

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