{"id":"https://openalex.org/W2160759673","doi":"https://doi.org/10.1377/hlthaff.2010.0046","title":"Assessing Cost-EffectivenessAnd Value As Imaging Grows:The Case Of Carotid Artery CT","display_name":"Assessing Cost-EffectivenessAnd Value As Imaging Grows:The Case Of Carotid Artery CT","publication_year":2010,"publication_date":"2010-12-01","ids":{"openalex":"https://openalex.org/W2160759673","doi":"https://doi.org/10.1377/hlthaff.2010.0046","mag":"2160759673","pmid":"https://pubmed.ncbi.nlm.nih.gov/21134928"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.2010.0046","doi":"https://doi.org/10.1377/hlthaff.2010.0046","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2010.0046","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048757486","display_name":"Laurence C. Baker","orcid":"https://orcid.org/0000-0001-5032-794X","observed_orcids":["https://orcid.org/0000-0001-5032-794X"]},"institutions":[{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laurence C. Baker","raw_affiliation_strings":["Laurence C. Baker (           ) is a professor of health research and policy and CHP/PCOR fellow in the Department of Health Research and Policy, Stanford University, in California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Laurence C. Baker (           ) is a professor of health research and policy and CHP/PCOR fellow in the Department of Health Research and Policy, Stanford University, in California","institution_ids":["https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081386752","display_name":"Christopher C. Afendulis","orcid":"https://orcid.org/0000-0002-1336-9814","observed_orcids":["https://orcid.org/0000-0002-1336-9814"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher C. Afendulis","raw_affiliation_strings":["Christopher C. Afendulis is a lecturer in the Department of Health Policy at Harvard Medical School, in Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Christopher C. Afendulis is a lecturer in the Department of Health Policy at Harvard Medical School, in Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110737669","display_name":"Scott W. Atlas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286498122","display_name":"Hoover Institution","ror":"https://ror.org/04ce9mt19","country_code":"US","type":"facility","lineage":["https://openalex.org/I1286498122"]},{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott W. Atlas","raw_affiliation_strings":["Scott W. Atlas is a senior fellow at the Hoover Institution, a professor of radiology and chief of neuroradiology at the Stanford University Medical Center, and senior fellow by courtesy at the Freeman-Spogli Institute for International Studies at Stanford"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Scott W. Atlas is a senior fellow at the Hoover Institution, a professor of radiology and chief of neuroradiology at the Stanford University Medical Center, and senior fellow by courtesy at the Freeman-Spogli Institute for International Studies at Stanford","institution_ids":["https://openalex.org/I1286498122","https://openalex.org/I4210137306"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.5028,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.89488446,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"29","issue":"12","first_page":"2260","last_page":"2267"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.36570000648498535,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.36570000648498535,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.3393999934196472,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.26269999146461487,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/carotid-ct-angiography","display_name":"carotid CT angiography","score":0.9039999842643738},{"id":"https://openalex.org/keywords/carotid-stenosis","display_name":"carotid artery stenosis","score":0.9049999713897705},{"id":"https://openalex.org/keywords/stroke-prevention","display_name":"stroke prevention","score":0.7549999952316284},{"id":"https://openalex.org/keywords/medicare-utilization","display_name":"Medicare utilization","score":0.546999990940094},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7239999771118164},{"id":"https://openalex.org/keywords/emerging-health-technologies","display_name":"emerging health technologies","score":0.5659999847412109}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8431171178817749},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.6468537449836731},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.6386957764625549},{"id":"https://openalex.org/C2983858294","wikidata":"https://www.wikidata.org/wiki/Q1024492","display_name":"Computed tomographic angiography","level":3,"score":0.634084939956665},{"id":"https://openalex.org/C2987047532","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Carotid arteries","level":2,"score":0.5904685854911804},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5550426244735718},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.5426393747329712},{"id":"https://openalex.org/C2985771010","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomographic","level":3,"score":0.5378597974777222},{"id":"https://openalex.org/C2776654903","wikidata":"https://www.wikidata.org/wiki/Q2601463","display_name":"SAFER","level":2,"score":0.47978121042251587},{"id":"https://openalex.org/C2776184368","wikidata":"https://www.wikidata.org/wiki/Q1576205","display_name":"Carotid artery disease","level":4,"score":0.45568349957466125},{"id":"https://openalex.org/C2781347138","wikidata":"https://www.wikidata.org/wiki/Q1024492","display_name":"Computed tomography angiography","level":3,"score":0.4258929491043091},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.31168174743652344},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.299606055021286},{"id":"https://openalex.org/C2781068581","wikidata":"https://www.wikidata.org/wiki/Q5045544","display_name":"Carotid endarterectomy","level":3,"score":0.12748533487319946},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.09245818853378296},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000792","descriptor_name":"Angiography","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D002339","descriptor_name":"Carotid Arteries","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.2010.0046","doi":"https://doi.org/10.1377/hlthaff.2010.0046","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2010.0046","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:21134928","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21134928","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8560000061988831,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1966854150","https://openalex.org/W1966994218","https://openalex.org/W2012321895","https://openalex.org/W2018875682","https://openalex.org/W2115189777","https://openalex.org/W2151968255","https://openalex.org/W2160714335","https://openalex.org/W2167148122","https://openalex.org/W2171697262"],"related_works":["https://openalex.org/W2219501581","https://openalex.org/W6963177558","https://openalex.org/W4230376470","https://openalex.org/W1822497345","https://openalex.org/W2542676167","https://openalex.org/W3020165415","https://openalex.org/W7100833963","https://openalex.org/W7100981026","https://openalex.org/W2276012101","https://openalex.org/W1496152752"],"abstract_inverted_index":{"Computed":[0],"tomographic":[1],"(CT)":[2],"angiography":[3,89],"is":[4,9,130,147],"an":[5,15],"imaging":[6],"test":[7,17,51,104],"that":[8,43,84],"safer":[10],"and":[11,40,145],"less":[12],"expensive":[13],"than":[14],"older":[16,58,110],"in":[18,30,69,87,137],"diagnosing":[19],"narrowing":[20],"of":[21,28,35,47,62,102,123],"the":[22,48,57,85,103,109,121],"carotid":[23,97],"arteries-the":[24],"most":[25],"common":[26],"cause":[27],"stroke":[29],"US":[31],"adults.":[32],"Our":[33],"examination":[34],"Medicare":[36],"data":[37],"between":[38],"2001":[39],"2005":[41],"found":[42,81],"about":[44],"20":[45],"percent":[46],"time":[49],"this":[50],"was":[52],"used,":[53],"it":[54,133],"substituted":[55],"for":[56,96,108],"test.":[59,79],"The":[60,100],"majority":[61],"new":[63,140],"use,":[64,68],"however,":[65],"constituted":[66],"\"incremental\"":[67],"cases":[70,138],"where":[71,139],"patients":[72],"previously":[73],"would":[74],"not":[75],"have":[76,142],"received":[77],"any":[78],"We":[80],"no":[82],"evidence":[83],"growth":[86],"CT":[88],"led":[90],"to":[91,115,126],"more":[92],"patients'":[93],"being":[94],"treated":[95],"artery":[98],"disease.":[99],"value":[101],"as":[105],"a":[106],"substitute":[107],"procedure":[111],"may":[112],"be":[113,135],"enough":[114],"still":[116],"justify":[117],"expanding":[118],"use.":[119],"Tracking":[120],"uses":[122,144],"emerging":[124],"technologies":[125],"encourage":[127],"efficient":[128],"use":[129],"essential,":[131],"but":[132],"can":[134],"challenging":[136],"tools":[141],"multiple":[143],"information":[146],"incomplete.":[148]},"counts_by_year":[{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
