Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis
dc.contributor.author | Vest, Joshua R. | |
dc.contributor.author | Jung, Hye-Young | |
dc.contributor.author | Ostrovsky, Aaron | |
dc.contributor.author | Das, Lala Tanmoy | |
dc.contributor.author | McGinty, Geraldine B. | |
dc.contributor.department | Department of Health Policy and Management, Richard M. Fairbanks School of Public Health | en_US |
dc.date.accessioned | 2017-06-13T16:13:09Z | |
dc.date.available | 2017-06-13T16:13:09Z | |
dc.date.issued | 2015-12 | |
dc.description.abstract | INTRODUCTION: Image sharing technologies may reduce unneeded imaging by improving provider access to imaging information. A systematic review and meta-analysis were conducted to summarize the impact of image sharing technologies on patient imaging utilization. METHODS: Quantitative evaluations of the effects of PACS, regional image exchange networks, interoperable electronic heath records, tools for importing physical media, and health information exchange systems on utilization were identified through a systematic review of the published and gray English-language literature (2004-2014). Outcomes, standard effect sizes (ESs), settings, technology, populations, and risk of bias were abstracted from each study. The impact of image sharing technologies was summarized with random-effects meta-analysis and meta-regression models. RESULTS: A total of 17 articles were included in the review, with a total of 42 different studies. Image sharing technology was associated with a significant decrease in repeat imaging (pooled effect size [ES] = -0.17; 95% confidence interval [CI] = [-0.25, -0.09]; P < .001). However, image sharing technology was associated with a significant increase in any imaging utilization (pooled ES = 0.20; 95% CI = [0.07, 0.32]; P = .002). For all outcomes combined, image sharing technology was not associated with utilization. Most studies were at risk for bias. CONCLUSIONS: Image sharing technology was associated with reductions in repeat and unnecessary imaging, in both the overall literature and the most-rigorous studies. Stronger evidence is needed to further explore the role of specific technologies and their potential impact on various modalities, patient populations, and settings. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Vest, J. R., Jung, H.-Y., Ostrovsky, A., Das, L. T., & McGinty, G. B. (2015). Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis. Journal of the American College of Radiology : JACR, 12(12 0 0), 1371–1379.e3. http://doi.org/10.1016/j.jacr.2015.09.014 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/12984 | |
dc.language.iso | en_US | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.jacr.2015.09.014 | en_US |
dc.relation.journal | Journal of the American College of Radiology | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | PMC | en_US |
dc.subject | Health information exchange | en_US |
dc.subject | Data sharing | en_US |
dc.subject | Evaluation | en_US |
dc.subject | Radiology information systems | en_US |
dc.subject | Utilization | en_US |
dc.title | Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis | en_US |
dc.type | Article | en_US |