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Table 3 Validity of the top five published low-value care measures

From: Are low-value care measures up to the task? A systematic review of the literature

 

Preoperative cardiac tests for non-cardiac low-risk surgery

Antibiotics for upper respiratory tract infections

Imaging for low-back pain

Cervical cancer screening

Imaging for sinusitis diagnosis

Number of measures included in review a

4 (measure no.: 42–44, 48)

7 (measure no.: 57–59, 62, 63, 65, 66)

8 (measure no.: 2–9)

3 (measure no.: 110–112)

4 (measure no.: 33, 35, 36, 59)

Measure criteria b

 Face validity c

Yes: level of evidence is 2

Yes, level of evidence is 1

Yes, level of evidence is 1

Yes, level of evidence is 2

Yes, level of evidence is 2

 Coding/criterion validity

Not found

Not found

Not found

Not found

Not found

 Construct validity

Not found

Not found

Not found

Not found

Not found

Used in practice

Yes, for payment determination (Hospital Outpatient Quality Reporting) [49]

Yes, in Physician Quality Reporting System [49]

Yes, for payment determination (Hospital Outpatient Quality Reporting) [49]

Yes, in Physician Quality Reporting System [49]

Not found

  1. a: Measure numbers corresponding with Additional file 2 between brackets
  2. b: Criteria for quality measures (AHRQ)
  3. c: For level of evidence also see Table 2