Association of Low-Value Testing with Subsequent Health Care Use and Clinical Outcomes Among Low-Risk Primary Care Outpatients undergoing an Annual Health Examination

Overview:

In this population-based cohort study of low-risk patients undergoing annual health examinations (AHE), patients who received a low-value screening test (chest radiograph, electrocardiogram or Papanicolaou test) on the date of or shortly after their AHE were at increased risk of subsequent specialist visits diagnostic tests, and procedures in the following 90 and 180 days.  These findings suggest that low-value testing of primary care outpatients contributes to further downstream care.

Objectives:

1.  Understand the testing cascades.
2.  Assess the association of 3 low-value testings (chest radiograph, electrocardiogram, or Papanicolaou test) with subsequent care among low-risk primary care outpatients undergoing an annual health examination (AHE).
3.  Acknowledge and evaluate the limitations of the current study.
4.  Understand recommendations from Choosing Wisely Canada.

Yun Shi, MD, PhD
PGY-3 Resident
Academic Chief
Family Medicine Residency Program
Department of Family & Community Medicine
UT Health San Antonio

Financial Disclosures:

Yun Shi, MD and her faculty preceptor Marcy Wiemers, MD have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, Marcy Wiemers, MD, Maria Del Pilar Montañez Villacampa, MD, Christine Song, DO, Nehman Andry, MD, Gabriela Lopez, PsyD, Maureen Alvarado, DO, Yun Shi, MD, Stacy Ogbeide, PsyD, Inez I. Cruz, PhD, and Nichole Rubio) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

Credits:

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations.

Accreditation:

The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.

For activity related questions, please contact:
Name: Nichole Rubio- FCM Grand Rounds Coordinator
Email: rubion@uthscsa.edu

For CME general questions, please contact
Ph: (210) 567-4445
Email: cme@uthscsa.edu