False positives and waste in medical spending also are concerning when tests are being ordered unnecessarily.
“We may get an image and the radiologist may see something—and that something may not be of clinical significance—then the child has to be subjected to downstream testing and monitoring,” Marin said. “That’s an added burden and stress on the family and added cost on the health care system.”
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Additional authors on the study include Jonathan Rodean, M.P.P., and Matt Hall, Ph.D., of Children’s Hospital Association; Elizabeth Alpern, M.D., M.S.C.E., of Ann & Robert H. Lurie Children’s Hospital of Chicago and Northwestern University Feinberg School of Medicine; Paul Aronson, M.D., M.H.S., of Yale School of Medicine; Pradip Chaudhari, M.D., of Children’s Hospital Los Angeles and Keck School of Medicine of the USC; Eyal Cohen, M.D., M.Sc., of the Hospital for Sick Children; Stephen Freedman, M.D.C.M., M.Sc., of Alberta Children’s Hospital; Rustin Morse, M.D., M.M.M., of Nationwide Children’s Hospital; Alon Peltz, M.D., M.B.A., of Harvard Medical School; Margaret Samuels-Kalow, M.D., M.Phil., M.S.H.P., of Massachusetts General Hospital; Samir Shah, M.D., M.S.C.E., of Cincinnati Children’s Hospital Medical Center; Harold Simon, M.D., M.B.A., of Emory University School of Medicine; and Mark Neuman, M.D., M.P.H., of Boston Children’s Hospital and Harvard Medical School.
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