Why Do Physicians Pursue Cascades of Care After Incidental Findings? A National Survey

doi:10.1007/s11606-019-05213-1

. 2020 Apr;35(4):1352-1354.

doi: 10.1007/s11606-019-05213-1. Epub 2019 Jul 25.

Why Do Physicians Pursue Cascades of Care After Incidental Findings? A National Survey

Ishani Ganguli¹, Arabella L Simpkin², Carrie H Colla³, Arlene Weissman⁴, Alexander J Mainor³, Meredith B Rosenthal⁵, Thomas D Sequist²

Affiliations

¹ Harvard Medical School, Boston, MA, USA. iganguli@bwh.harvard.edu.
² Harvard Medical School, Boston, MA, USA.
³ Geisel School of Medicine at Dartmouth, NH, Lebanon, USA.
⁴ American College of Physicians, Philadelphia, PA, USA.
⁵ Harvard T. H. Chan School of Public Health, Boston, MA, USA.

PMID: 31346910
PMCID: PMC7174496
DOI: 10.1007/s11606-019-05213-1

Why Do Physicians Pursue Cascades of Care After Incidental Findings? A National Survey

Ishani Ganguli et al. J Gen Intern Med. 2020 Apr.

. 2020 Apr;35(4):1352-1354.

doi: 10.1007/s11606-019-05213-1. Epub 2019 Jul 25.

Authors

Ishani Ganguli¹, Arabella L Simpkin², Carrie H Colla³, Arlene Weissman⁴, Alexander J Mainor³, Meredith B Rosenthal⁵, Thomas D Sequist²

Affiliations

¹ Harvard Medical School, Boston, MA, USA. iganguli@bwh.harvard.edu.
² Harvard Medical School, Boston, MA, USA.
³ Geisel School of Medicine at Dartmouth, NH, Lebanon, USA.
⁴ American College of Physicians, Philadelphia, PA, USA.
⁵ Harvard T. H. Chan School of Public Health, Boston, MA, USA.

PMID: 31346910
PMCID: PMC7174496
DOI: 10.1007/s11606-019-05213-1

No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors declare that they do not have a conflict of interest.

Cited by

Use and Cost of Low-Value Services Among Veterans Dually Enrolled in VA and Medicare.
Radomski TR, Lovelace EZ, Sileanu FE, Zhao X, Rose L, Schwartz AL, Schleiden LJ, Pickering AN, Gellad WF, Fine MJ, Thorpe CT. Radomski TR, et al. J Gen Intern Med. 2024 Sep;39(12):2215-2224. doi: 10.1007/s11606-024-08911-7. Epub 2024 Jul 8. J Gen Intern Med. 2024. PMID: 38977515
Effect of a Peer Comparison and Educational Intervention on Medical Test Conversation Quality: A Randomized Clinical Trial.
Ganguli I, Mulligan KL, Chant ED, Lipsitz S, Simmons L, Sepucha K, Rudin RS. Ganguli I, et al. JAMA Netw Open. 2023 Nov 1;6(11):e2342464. doi: 10.1001/jamanetworkopen.2023.42464. JAMA Netw Open. 2023. PMID: 37943557 Free PMC article. Clinical Trial.
Assessment of Care Cascades Following Low-Value Prostate-Specific Antigen Testing Among Veterans Dually Enrolled in the US Veterans Health Administration and Medicare Systems.
Pickering AN, Zhao X, Sileanu FE, Lovelace EZ, Rose L, Schwartz AL, Oakes AH, Hale JA, Schleiden LJ, Gellad WF, Fine MJ, Thorpe CT, Radomski TR. Pickering AN, et al. JAMA Netw Open. 2022 Dec 1;5(12):e2247180. doi: 10.1001/jamanetworkopen.2022.47180. JAMA Netw Open. 2022. PMID: 36520431 Free PMC article.
Clinician Attitudes and Beliefs Associated with More Aggressive Diagnostic Testing.
Korenstein D, Scherer LD, Foy A, Pineles L, Lydecker AD, Owczarzak J, Magder L, Brown JP, Pfeiffer CD, Terndrup C, Leykum L, Stevens D, Feldstein DA, Weisenberg SA, Baghdadi JD, Morgan DJ. Korenstein D, et al. Am J Med. 2022 Jul;135(7):e182-e193. doi: 10.1016/j.amjmed.2022.02.036. Epub 2022 Mar 18. Am J Med. 2022. PMID: 35307357 Free PMC article.
Curbing Cascades of Care: What They Are and How to Stop Them.
Ganguli I. Ganguli I. Am Fam Physician. 2022 Mar 1;105(3):228-229. Am Fam Physician. 2022. PMID: 35289565 Free PMC article. No abstract available.

See all "Cited by" articles

References

1. Deyo RA. Cascade effects of medical technology. Annu Rev Public Heal. 2002;23:23–44. doi: 10.1146/annurev.publhealth.23.092101.134534. - DOI - PubMed
1. Presidential Commission for the Study of Bioethical Issues. Anticipate and Communicate: Ethical Management of Incidental and Secondary Findings in the Clinical, Research, and Direct-to-Consumer Contexts | December 2013. 2013:1-160. https://bioethicsarchive.georgetown.edu/pcsbi/node/3183.html. Accessed May 1, 2019. - PubMed
1. Zafar HM, Bugos EK, Langlotz CP, Frasso R. “Chasing a Ghost”: Factors that Influence Primary Care Physicians to Follow Up on Incidental Imaging Findings. Radiology. 2016;281:567–573. doi: 10.1148/radiol.2016152188. - DOI - PMC - PubMed
1. Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. Analysis of Physician Variation in Provision of Low-Value Services. JAMA Intern Med. 2019;179:16–25. doi: 10.1001/jamainternmed.2018.5086. - DOI - PMC - PubMed
1. Rothberg MB, Class J, Bishop TF, Friderici J, Kleppel R, Lindenauer PK. The Cost of Defensive Medicine on 3 Hospital Medicine Services. JAMA Intern Med. 2014;174:1867. doi: 10.1001/jamainternmed.2014.4649. - DOI - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources

[1] Deyo RA. Cascade effects of medical technology. Annu Rev Public Heal. 2002;23:23–44. doi: 10.1146/annurev.publhealth.23.092101.134534. - DOI - PubMed

[2] Deyo RA. Cascade effects of medical technology. Annu Rev Public Heal. 2002;23:23–44. doi: 10.1146/annurev.publhealth.23.092101.134534. - DOI - PubMed

[3] Presidential Commission for the Study of Bioethical Issues. Anticipate and Communicate: Ethical Management of Incidental and Secondary Findings in the Clinical, Research, and Direct-to-Consumer Contexts | December 2013. 2013:1-160. https://bioethicsarchive.georgetown.edu/pcsbi/node/3183.html. Accessed May 1, 2019. - PubMed

[4] Presidential Commission for the Study of Bioethical Issues. Anticipate and Communicate: Ethical Management of Incidental and Secondary Findings in the Clinical, Research, and Direct-to-Consumer Contexts | December 2013. 2013:1-160. https://bioethicsarchive.georgetown.edu/pcsbi/node/3183.html. Accessed May 1, 2019. - PubMed

[5] Zafar HM, Bugos EK, Langlotz CP, Frasso R. “Chasing a Ghost”: Factors that Influence Primary Care Physicians to Follow Up on Incidental Imaging Findings. Radiology. 2016;281:567–573. doi: 10.1148/radiol.2016152188. - DOI - PMC - PubMed

[6] Zafar HM, Bugos EK, Langlotz CP, Frasso R. “Chasing a Ghost”: Factors that Influence Primary Care Physicians to Follow Up on Incidental Imaging Findings. Radiology. 2016;281:567–573. doi: 10.1148/radiol.2016152188. - DOI - PMC - PubMed

[7] Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. Analysis of Physician Variation in Provision of Low-Value Services. JAMA Intern Med. 2019;179:16–25. doi: 10.1001/jamainternmed.2018.5086. - DOI - PMC - PubMed

[8] Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. Analysis of Physician Variation in Provision of Low-Value Services. JAMA Intern Med. 2019;179:16–25. doi: 10.1001/jamainternmed.2018.5086. - DOI - PMC - PubMed

[9] Rothberg MB, Class J, Bishop TF, Friderici J, Kleppel R, Lindenauer PK. The Cost of Defensive Medicine on 3 Hospital Medicine Services. JAMA Intern Med. 2014;174:1867. doi: 10.1001/jamainternmed.2014.4649. - DOI - PMC - PubMed

[10] Rothberg MB, Class J, Bishop TF, Friderici J, Kleppel R, Lindenauer PK. The Cost of Defensive Medicine on 3 Hospital Medicine Services. JAMA Intern Med. 2014;174:1867. doi: 10.1001/jamainternmed.2014.4649. - DOI - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Why Do Physicians Pursue Cascades of Care After Incidental Findings? A National Survey

Affiliations

Why Do Physicians Pursue Cascades of Care After Incidental Findings? A National Survey

Authors

Affiliations

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources