Value-based Care | Links Medicus Content Curation & Alerts in Medicine

Patients who received home-based, interdisciplinary palliative care were more likely to die at home than in hospital, compared to those who received usual care: https://t.co/JsLvANgcPK @kieranlquinn @PTanuseputro @sarina_isenberg #PalliativeCare #HeartFailure pic.twitter.com/6rOPtYQw2h

— CMAJ (@CMAJ) September 26, 2022

Viewpoint | Using behavioral economics to decrease operating room costs and promote better surgeon accountability.

29 Sep, 2022 | 13:28h | UTC

Using Behavioral Economics to Decrease Operating Room Costs and Promote Better Surgeon Accountability – JAMA Surgery (free for a limited period)

Perspective | Same-day discharge after minimally invasive colectomy.

29 Sep, 2022 | 13:27h | UTC

Same-Day Discharge After Minimally Invasive Colectomy – JAMA Surgery (free for a limited period)

Study shows that same-day home recovery for benign foregut surgery is safe and feasible for most patients.

23 Sep, 2022 | 13:07h | UTC

Same-Day Home Recovery for Benign Foregut Surgery – JAMA Surgery (link to abstract – $ for full-text)

Commentary on Twitter

Same-day home recovery is feasible, safe, and effective and may become common practice for the majority of benign foregut surgical procedures. https://t.co/vrYvfiXm5r #Research

— JAMA Surgery (@JAMASurgery) September 16, 2022

Cluster RCT | Effects of real-time prescription benefit recommendations on patient out-of-pocket costs.

19 Sep, 2022 | 12:47h | UTC

Effects of Real-time Prescription Benefit Recommendations on Patient Out-of-Pocket Costs: A Cluster Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Invited Commentary: Real-time Prescription Benefit Tools—The Promise and Peril – JAMA Internal Medicine (free for a limited period)

Commentary on Twitter

Real-time Prescription Benefits (RTPB) uses patient out-of-pocket (OOP) cost to recommend lower-cost med alternatives to prescribers. In a RCT, RTPB reduced med OOP costs by 11%, though recommendations were only made for a small proportion of orders. https://t.co/xXviGvnbKw pic.twitter.com/naeciB3CDg

— JAMA Internal Medicine (@JAMAInternalMed) September 12, 2022

Review | The hidden pandemic: the cost of postoperative complications.

6 Sep, 2022 | 14:13h | UTC

The Hidden Pandemic: the Cost of Postoperative Complications – Current Anesthesiology Reports

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide.

1 Sep, 2022 | 11:41h | UTC

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide for research agenda in China – BMJ Global Health

Systematic Review | Interventions to reduce computed tomography usage in the emergency department.

24 Aug, 2022 | 13:54h | UTC

A Systematic Review of Interventions to Reduce Computed Tomography Usage in the Emergency Department – Annals of Emergency Medicine

RCT | Antiseptic skin agents to prevent surgical site infection after incisional surgery.

8 Aug, 2022 | 11:54h | UTC

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

Cochrane Collection | Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence.

8 Aug, 2022 | 11:50h | UTC

Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence – Cochrane Library

Viewpoint | Deimplementation of low-value care in surgery.

4 Aug, 2022 | 14:43h | UTC

Deimplementation of Low-Value Care in Surgery – JAMA Surgery (free for a limited period)

M-A | Costs of multimorbidity.

20 Jul, 2022 | 12:06h | UTC

Costs of multimorbidity: a systematic review and meta-analyses – BMC Medicine

Variation in the estimated prevalence of multimorbidity: systematic review and meta-analysis of 193 international studies – BMJ Open

Italian guidelines on management of persons with multimorbidity and polypharmacy – Aging Clinical and Experimental Research

Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review – Agency for Healthcare Research and Quality

Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund

Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine

Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open

Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal

Multimorbidity: a priority for global health research – The Academy of Medical Sciences

The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports

Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review

Multimorbidity: clinical assessment and management – NICE Guideline

Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology

Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs

Better Care for People with Complex Needs – Institute for Healthcare Improvement

Comparison of strategies to conserve iodinated intravascular contrast media for computed tomography during a shortage.

10 Jun, 2022 | 11:21h | UTC

Comparison of Strategies to Conserve Iodinated Intravascular Contrast Media for Computed Tomography During a Shortage – JAMA (free for a limited period)

News Release: Amid Global Shortage, Study Shows How to Cut Contrast Dye Use 83% – University of California, San Francisco (UCSF)

Commentary on Twitter

This modeling study estimated that intravenous contrast use for CT scans could be reduced by approximately 80% by using a combination of dose-reduction strategies. https://t.co/hlnvkdEECS

— JAMA (@JAMA_current) June 9, 2022

Covid-19: US hospitals continued to perform unnecessary surgeries during pandemic.

9 Jun, 2022 | 11:22h | UTC

Covid-19: US hospitals continued to perform unnecessary surgeries during pandemic – The BMJ

Original Report: Lown Institute. Hospital overuse during covid. 17 May 2022

Editorial: Appraising pay‐for‐performance in healthcare in low‐ and middle‐income countries through systematic reviews: reflections from two teams.

2 Jun, 2022 | 11:09h | UTC

Editorial: Appraising pay‐for‐performance in healthcare in low‐ and middle‐income countries through systematic reviews: reflections from two teams – Cochrane Library

Original Study: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library AND

Summary: Paying for performance to improve the delivery of healthcare services in low- and middle-income countries – Cochrane Library

Commentary on Twitter

'This @CochraneLibrary editorial offers an overview of 4 challenges we met when evaluating 171 studies on #payforperformance for systematic reviews. We hope it will guide future studies/evidence synthesis projects' – @KarinDiaconu
📜 https://t.co/C0sQ5HyAkr @CochraneEPOC #P4P pic.twitter.com/oeH48m5m4y

— The Cochrane Library (@CochraneLibrary) May 27, 2022

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.

26 May, 2022 | 10:48h | UTC

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review – BMC Medical Imaging

Cohort Study: Sustainability of a clinical decision support intervention for outpatient care for emergency department patients with acute pulmonary embolism.

17 May, 2022 | 10:44h | UTC

Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism – JAMA Network Open

Commentary on Twitter

This multicenter cohort study of ED patients with acute pulmonary embolism found the initial increase in outpatient management from a physician champion-led, EHR-embedded clinical decision support intervention was sustained 4 years later. https://t.co/UPf8pAOTry

— JAMA Network Open (@JAMANetworkOpen) May 16, 2022