Use of low-value pediatric services in the Military Health System

Koehlmoos, Tracey Pérez; Madsen, Cathaleen; Banaag, Amanda; Li, Qiong; Schoenfeld, Andrew J.; Weissman, Joel S.

doi:10.1186/s12913-020-05640-5

BMC Health Services Research

Table 2 Use of 20 Low Value Service Measures and Risk Ratios

From: Use of low-value pediatric services in the Military Health System

No.	Service^a	Denominator Definition^a	No. of Children in Denominator	No. Receiving Service at Least Once During FY	% of Denom Receiving Service at Least Once During FY	% of All Children (n = 1,111,543) Receiving Service at Least Once During FY	No. of Services During FY	No. of Services per 100 Children in Denominator
1	Population-based screening for vitamin D deficiency	All children	1,111,534	10,242	0.92	0.92	10,753	0.97
2	Skin prick test or IgE blood tests in children with atopic dermatitis	Children with a diagnosis of atopic dermatitis during the FY	27,659	340	1.23	0.03	356	1.29
3	Testing for RSV in children with bronchiolitis	Children with diagnosis of bronchiolitis during FY	13,813	1096	7.93	0.10	1143	8.27
4	Blood tests in children with a simple febrile seizure	Children with diagnosis of simple febrile seizure during FY	1987	129	6.49	0.01	137	6.89
5	Cervical cancer screening w/ HPV test or papanicolaou test in children	Female children aged ≥14 years	139,425	1115	0.80	0.10	1137	0.82
6	Testing for group A streptococcal pharyngitis in children aged < 3 years	Children aged < 3 years	177,669	19,467	10.96	1.75	24,979	14.06
7	Face or nose radiograph in children with head or face trauma	Children with diagnosis of head or face trauma during FY	57,943	1013	1.75	0.09	1023	1.77
8	Ultrasound in children with cryptorchidism	Children with diagnosis of cryptorchidism during FY	1823	348	19.09	0.03	354	19.42
9	Sinus imaging in children with acute sinusitis	Children with diagnosis of acute sinusitis during FY	44,399	68	0.15	0.01	85	0.19
10	Neuroimaging in children with a simple febrile seizure	Children with a diagnosis of simple febrile seizure during the FY	1987	39	1.96	0.00	39	1.96
11	Neuroimaging in children with headache	Children aged ≥12 years with a diagnosis of headache during the FY	29,801	2807	9.42	0.25	3022	10.14
12	Cough and cold medications in children aged < 6 y	Children aged < 6 years	363,376	108,574	29.88	9.77	136,381	37.53
13	Oral antibiotics for acute upper respiratory infections	Children with a diagnosis of acute upper respiratory infection during the FY	224,222	28,156	12.56	2.53	29,440	13.13
14	Oral antibiotics for acute OME	Children with a diagnosis of acute OME during the FY	26,313	10,553	40.11	0.95	10,872	41.32
15	Oral antibiotics for acute otitis externa	Children with a diagnosis of acute otitis externa during the FY	22,399	2184	9.75	0.20	2249	10.04
16	Oral antibiotics after tonsillectomy	Children undergoing tonsillectomy during the FY	6727	612	9.10	0.06	612	9.10
17	Oral antibiotics for bronchiolitis	Children with a diagnosis of bronchiolitis during the FY	13,813	2245	16.25	0.20	2368	17.14
18	Oral corticosteroids for bronchiolitis	Children with a diagnosis of bronchiolitis during the FY	13,813	2857	20.68	0.26	3222	23.33
19	Short-acting β-agonists for bronchiolitis	Children with a diagnosis of bronchiolitis during the FY	13,813	5209	37.71	0.47	5634	40.79
20	Acid blockers for infants with uncomplicated gastroesophageal reflux	Infants aged < 1 year	54,023	2395	4.43	0.22	5168	9.57

^aMeasures and denominator definitions as described by Chua, et al [11]

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ISSN: 1472-6963

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