FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2768015143> ?p ?o ?g. }

• W2768015143 abstract "ABSTRACT Background Uninsured trauma patients have higher mortality than their insured counterparts. One possible reason is disparities in utilization of appropriate diagnostic imaging, including computed tomography (CT), X-ray, ultrasound (US), and magnetic resonance imaging (MRI). We examined the association between lack of insurance and use of diagnostic imaging. Methods Data come from the National Trauma Databank 2010-2015. Patients were determined uninsured if payment mode was self-pay or missing. The primary outcome was any diagnostic imaging procedure, and secondary outcomes included CT, X-ray, US, or MRI. Risk ratios (RRs) were adjusted for demographics, comorbidities, injury characteristics, facility characteristics. We also used the 2010 Patient Protection and Affordable Care Act as an instrumental variable (IV), with linear terms for year to account for annual trends in imaging use. Monte carlo simulations to test effect of hypothetical violations to IV assumptions of relevance, no direct effect, and no confounding. Results Of 4,373,554 patients, 953,281 (21.8%) were uninsured. After adjusting, uninsured patients had lower chance of any imaging (RR 0.98, 95% CI 0.98 to 0.98), x-ray (RR 0.99, 95% CI 0.99 to 1.00), and MRI (RR 0.82, 95% CI 0.81 to 0.83), and higher chance of ultrasound (RR 1.01, 95% CI 1.01 to 1.02). In IV analysis, uninsured status was associated with reduction in any imaging (RR 0.60, 95% CI 0.52 to 0.70), tomography (RR 0.52, 95% CI 0.44 to 0.62) ultrasound (RR 0.46, 95% CI 0.32 to 0.65), and MRI (RR 0.19, 95% CI 0.10 to 0.37) and increased likelihood of x-ray use (RR 1.74, 95% CI 1.31 to 2.32). Simulations indicated that a direct effect RD of −0.02 would be necessary to produce observed results under the null hypothesis. Discussion Our study suggests an association between insurance status and use of imaging that is unlikely to be driven by confounding or violations of IV assumptions. Mechanisms for this remain unclear, but could include unconscious provider bias or institutional financial constraints. Further research is warranted to elucidate mechanisms and assess whether differences in diagnostic imaging use mediate the association between insurance and mortality." @default.
• W2768015143 created "2017-11-17" @default.
• W2768015143 creator A5014413457 @default.
• W2768015143 creator A5030609254 @default.
• W2768015143 creator A5071054112 @default.
• W2768015143 date "2017-11-08" @default.
• W2768015143 modified "2023-09-25" @default.
• W2768015143 title "Lack of insurance is associated with lower probability of diagnostic imaging use among US trauma patients: An instrumental variable analysis and simulation" @default.
• W2768015143 cites W10683944 @default.
• W2768015143 cites W1653073132 @default.
• W2768015143 cites W1963588934 @default.
• W2768015143 cites W1980186076 @default.
• W2768015143 cites W1985730516 @default.
• W2768015143 cites W1989344029 @default.
• W2768015143 cites W1990077114 @default.
• W2768015143 cites W1990647235 @default.
• W2768015143 cites W1991158548 @default.
• W2768015143 cites W1998008696 @default.
• W2768015143 cites W2000364821 @default.
• W2768015143 cites W2007111559 @default.
• W2768015143 cites W2018502278 @default.
• W2768015143 cites W2036102550 @default.
• W2768015143 cites W2037738604 @default.
• W2768015143 cites W2042957883 @default.
• W2768015143 cites W2046107217 @default.
• W2768015143 cites W2073854124 @default.
• W2768015143 cites W2074098679 @default.
• W2768015143 cites W2079514780 @default.
• W2768015143 cites W2084013193 @default.
• W2768015143 cites W2091904383 @default.
• W2768015143 cites W2099165877 @default.
• W2768015143 cites W2105034425 @default.
• W2768015143 cites W2119762928 @default.
• W2768015143 cites W2123236160 @default.
• W2768015143 cites W2124463820 @default.
• W2768015143 cites W2124801837 @default.
• W2768015143 cites W2131351085 @default.
• W2768015143 cites W2133725806 @default.
• W2768015143 cites W2142085523 @default.
• W2768015143 cites W2146050890 @default.
• W2768015143 cites W2170783071 @default.
• W2768015143 cites W2224247781 @default.
• W2768015143 cites W2256120588 @default.
• W2768015143 cites W2315384066 @default.
• W2768015143 cites W2331876417 @default.
• W2768015143 cites W2406093791 @default.
• W2768015143 cites W2500035675 @default.
• W2768015143 cites W2654438086 @default.
• W2768015143 cites W2732372625 @default.
• W2768015143 cites W4232427349 @default.
• W2768015143 cites W752734151 @default.
• W2768015143 doi "https://doi.org/10.1101/215889" @default.
• W2768015143 hasPublicationYear "2017" @default.
• W2768015143 type Work @default.
• W2768015143 sameAs 2768015143 @default.
• W2768015143 citedByCount "1" @default.
• W2768015143 countsByYear W27680151432020 @default.
• W2768015143 crossrefType "posted-content" @default.
• W2768015143 hasAuthorship W2768015143A5014413457 @default.
• W2768015143 hasAuthorship W2768015143A5030609254 @default.
• W2768015143 hasAuthorship W2768015143A5071054112 @default.
• W2768015143 hasBestOaLocation W27680151431 @default.
• W2768015143 hasConcept C126322002 @default.
• W2768015143 hasConcept C126838900 @default.
• W2768015143 hasConcept C143409427 @default.
• W2768015143 hasConcept C144024400 @default.
• W2768015143 hasConcept C149923435 @default.
• W2768015143 hasConcept C194828623 @default.
• W2768015143 hasConcept C2780084366 @default.
• W2768015143 hasConcept C2989005 @default.
• W2768015143 hasConcept C31601959 @default.
• W2768015143 hasConcept C544519230 @default.
• W2768015143 hasConcept C71924100 @default.
• W2768015143 hasConcept C77350462 @default.
• W2768015143 hasConceptScore W2768015143C126322002 @default.
• W2768015143 hasConceptScore W2768015143C126838900 @default.
• W2768015143 hasConceptScore W2768015143C143409427 @default.
• W2768015143 hasConceptScore W2768015143C144024400 @default.
• W2768015143 hasConceptScore W2768015143C149923435 @default.
• W2768015143 hasConceptScore W2768015143C194828623 @default.
• W2768015143 hasConceptScore W2768015143C2780084366 @default.
• W2768015143 hasConceptScore W2768015143C2989005 @default.
• W2768015143 hasConceptScore W2768015143C31601959 @default.
• W2768015143 hasConceptScore W2768015143C544519230 @default.
• W2768015143 hasConceptScore W2768015143C71924100 @default.
• W2768015143 hasConceptScore W2768015143C77350462 @default.
• W2768015143 hasLocation W27680151431 @default.
• W2768015143 hasOpenAccess W2768015143 @default.
• W2768015143 hasPrimaryLocation W27680151431 @default.
• W2768015143 hasRelatedWork W1964496343 @default.
• W2768015143 hasRelatedWork W2158469081 @default.
• W2768015143 hasRelatedWork W2402518115 @default.
• W2768015143 hasRelatedWork W2411494829 @default.
• W2768015143 hasRelatedWork W2460827755 @default.
• W2768015143 hasRelatedWork W2465706935 @default.
• W2768015143 hasRelatedWork W2780623438 @default.
• W2768015143 hasRelatedWork W2798310738 @default.
• W2768015143 hasRelatedWork W29080787 @default.
• W2768015143 hasRelatedWork W1972217857 @default.
• W2768015143 isParatext "false" @default.

• next