1. Comparative Effectiveness Research: Alternatives to 'Traditional' Computed Tomography Use in the Acute Care Setting
- Author
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Sarah Goldman, Richard Andrew Taylor, Edward R. Melnick, John E. Heil, Robert A. Novelline, Mythreyi Bhargavan-Chatfield, Michael D. Repplinger, Rachel Liu, Christopher L. Moore, Aaron D. Sodickson, Jennifer R. Marin, Bradley Gans, Barbara A. Gaines, Brock Daniels, Martin L. Gunn, D. Cody, Joshua S. Broder, Joseph R. Pare, M. Kennedy Hall, and Kevin Cullison
- Subjects
medicine.medical_specialty ,Comparative Effectiveness Research ,medicine.diagnostic_test ,Cost–benefit analysis ,Delphi Technique ,business.industry ,Consensus Development Conferences as Topic ,Cost-Benefit Analysis ,Comparative effectiveness research ,Modified delphi ,MEDLINE ,Delphi method ,Health services research ,Computed tomography ,General Medicine ,Family medicine ,Acute care ,medicine ,Emergency Medicine ,Humans ,Medical physics ,Health Services Research ,business ,Emergency Service, Hospital ,Tomography, X-Ray Computed - Abstract
Computed tomography (CT) scanning is an essential diagnostic tool and has revolutionized care of patients in the acute care setting. However, there is widespread agreement that overutilization of CT, where benefits do not exceed possible costs or harms, is occurring. The goal was to seek consensus in identifying and prioritizing research questions and themes that involve the comparative effectiveness of "traditional" CT use versus alternative diagnostic strategies in the acute care setting. A modified Delphi technique was used that included input from emergency physicians, emergency radiologists, medical physicists, and an industry expert to achieve this.
- Published
- 2015