Value-based Care
Choosing Wisely: Top 10 Evidence-based Recommendations from the Brazilian Society of Infectious Diseases
1 Oct, 2019 | 00:54h | UTCSee other Choosing Wisely recommendations in infectious diseases: Infectious Diseases Society of America / American Academy of Pediatrics – Committee on Infectious Diseases and the Pediatric Infectious Diseases Society / Australasian Society for Infectious Diseases / Association of Medical Microbiology and Infectious Disease Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: The Risk and Cost of Limited Clinician and Patient Accountability in Health Care
1 Oct, 2019 | 00:41h | UTCThe Risk and Cost of Limited Clinician and Patient Accountability in Health Care – JAMA (free for a limited period)
‘Value’ of Care Was a Big Goal. How Did It Work Out?
24 Sep, 2019 | 07:48h | UTC‘Value’ of Care Was a Big Goal. How Did It Work Out? – The New York Times (10 articles per month are free)
Viewpoint: Value-Based Purchasing and Physician Professionalism
22 Sep, 2019 | 22:57h | UTCValue-Based Purchasing and Physician Professionalism – JAMA (free for a limited period)
Cohort Study: Early Palliative Care Linked to Increased Survival and Reduced Risk of Death in an Acute Care Setting Among Patients with Advanced Lung Cancer
20 Sep, 2019 | 08:21h | UTCAssociation of Early Palliative Care Use With Survival and Place of Death Among Patients With Advanced Lung Cancer Receiving Care in the Veterans Health Administration – JAMA Oncology (free for a limited period)
Editorial: Prolonged Survival With Palliative Care—It Is Possible, but Is It Necessary? (free)
Commentaries: Early Palliative Care Associated with Increased Survival in Lung Cancer Patients – MedicalResearch.com (free) AND Early palliative care for advanced lung cancer increases survival – Veterans Affairs Research Communications (free)
Related Systematic Review: Early palliative care for adults with advanced cancer – Cochrane Library (free summary and original article)
Related Guidelines: Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update (free) AND Consensus document of the Italian Association of Medical Oncology and the Italian Society of Palliative Care on early palliative care – Tumori Journal (free)
Related Video: Early Palliative Care: a video for health and care professionals – University of Edinburgh (free)
Related Randomized Trial: Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer- New England Journal of Medicine (free)
Less is More in Critical Care is Supported by Evidence-based Medicine
19 Sep, 2019 | 08:15h | UTCLess is more in critical care is supported by evidence-based medicine – Intensive Care Medicine (free for a limited period)
Related: Less is More: Ten Reasons for Considering to Discontinue Unproven Interventions (free commentaries)
[Abstract Only] Randomized Trial: Polypill for Cardiovascular Disease Prevention in an Underserved Population
19 Sep, 2019 | 08:19h | UTCPolypill for Cardiovascular Disease Prevention in an Underserved Population – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Polypill Drops BP, LDL Cholesterol in a Disadvantaged US Population – TCTMD (free) AND One daily combo pill helps lower heart disease risk in study of underserved patients – American Heart Association (free) AND Fixed Dose Combination Polypill Can Reduce Barriers to Cardiovascular Care – MedicalResearch.com (free) AND One pill with four drugs may lower heart risks in poor population – Reuters (free) AND All-in-One Pill Reduces Blood Pressure, Cholesterol Levels in U.S. Study – Vanderbilt University Medical Center (free)
Related Randomized Trial: Effectiveness of Polypill for Primary and Secondary Prevention of Cardiovascular Diseases (link to abstract and commentaries)
See also: Clinical Impact of the Polypill for Cardiovascular Prevention in Latin America: A Consensus Statement of the Inter-American Society of Cardiology – Global Heart (free) AND Perspective: The Polypill and the Long Journey to Major Impact (opinion and reviews on the subject) AND Research: Low-Dose ‘Triple Pill’ Lowers Blood Pressure More Than Usual Care (free commentaries)
Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery
12 Sep, 2019 | 10:31h | UTCRelated: Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update – International Journal of Gynecological Cancer (free) AND Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Study: Low-Yield Inpatient Laboratory Diagnostic Tests can be Identified through Machine Learning Models
12 Sep, 2019 | 08:05h | UTCPrevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests – JAMA Network Open (free)
Commentary: Is that blood test really necessary? AI could help decide – Stanford Medicine (free)
Related Commentary on Twitter
https://twitter.com/Vashishtrv/status/1171825738288205824
2019 Update on Medical Overuse
10 Sep, 2019 | 01:50h | UTC2019 Update on Medical Overuse: A Review – JAMA Internal Medicine (free for a limited period)
New “Choosing Wisely” List on Low-value Laboratory Tests
6 Sep, 2019 | 08:59h | UTCCommentary: “Choosing Wisely” Calls Out Inappropriate Testing in Patients with Diarrhea or Hepatitis C – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: Telehealth Has an Awareness Problem
28 Aug, 2019 | 02:22h | UTCTelehealth Has An Awareness Problem – Forbes (free)
Perspective: Why Doctors Still Offer Treatments That May Not Help
27 Aug, 2019 | 01:55h | UTCWhy Doctors Still Offer Treatments That May Not Help – The New York Times (10 articles per month are free)
Related: When Evidence Says No, But Doctors Say Yes – ProPublica (free) AND Meta-Research: A Comprehensive Review of Randomized Trials Leading to “Medical Reversals” in Three Medical Journals (free) AND 10 Medical Myths We Should Stop Believing. Doctors, Too. – The New York Times (10 articles per month are free)
Less is More: Ten Reasons for Considering to Discontinue Unproven Interventions
22 Aug, 2019 | 10:59h | UTCRelated: What should we stop doing in the ICU? – ICU Management & Practice (free) AND “Less is More”: The New paradigm in Critical Care – EMCrit (free)
Study: Billions Could be Saved if Older Generics Were Prescribed
21 Aug, 2019 | 08:32h | UTCCommentary: Prescribing older generics could’ve saved Medicare $17.7B, study finds – Becker’s Hospital Review (free)
Related Study: Potential Savings from Generic Substitution and Therapeutic Interchange of ACE Inhibitors and Angiotensin-II-Receptor Blockers (no abstract – $ for full-text)
Perspective: Early Discharge Hospital at Home
20 Aug, 2019 | 08:14h | UTCEarly discharge hospital at home – NEJM Catalyst (free)
Related: Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review – International Journal of Environmental Research and Public Health (free) AND Early discharge hospital at home – Cochrane Library (free) AND Early discharge ‘hospital-at-home’ gives similar outcomes to in-patient care – NIHR Signal (free)
Podcast: Things We Do For No Reason, Part 2
13 Aug, 2019 | 05:55h | UTC#165 Things We Do For No Reason™ Part 2 – The Curbsiders Internal Medicine Podcast (free audio and summary)
See also: Part 1: #109: Things We Do For No Reason: A High Value Episode – The Curbsiders internal Medicine Podcast (free audio and summary)
Related Series: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine (free articles)
“Discover common practices that persist in the hospital wards despite no proven benefit!”
Too Much Medicine: Not Enough trust?
11 Aug, 2019 | 22:18h | UTCToo Much Medicine: Not Enough trust? – Journal of Medical Ethics (free)
Related Commentary on Twitter
A really thoughtful + interesting piece by @DrZoeFritz and #RichardHolton
Are doctors ordering unnecessary tests + over-prescribing because they want patients to trust them?
What are better more ethical ways to gain patient trust? (open access) https://t.co/KPJqC8tTIz— Celia Kitzinger (@KitzingerCelia) August 9, 2019
New Choosing Wisely List: American Academy of Pediatrics – Section on Rheumatology
7 Aug, 2019 | 01:32h | UTCCommentary: New Choosing Wisely List Tackles Opioid Prescribing, Lyme Testing – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Potential Savings from Generic Substitution and Therapeutic Interchange of ACE Inhibitors and Angiotensin-II-Receptor Blockers
6 Aug, 2019 | 08:06h | UTCPotential Medicare Savings From Generic Substitution and Therapeutic Interchange of ACE Inhibitors and Angiotensin-II-Receptor Blockers – JAMA Internal Medicine (free for a limited period)
“By maximizing generic substitution and therapeutic interchange, Medicare could have saved approximately $676 million (89.6%) in 2016 and 2017 of the total $754 million spent on these brand-name ACEIs and ARBs during those 2 years”.
Is Forced Telemedicine the Future of Healthcare?
2 Aug, 2019 | 00:59h | UTCIs forced telemedicine the future of healthcare? – Daily Republic (free)
Cancer Care: Ten Low-value or Harmful Practices that Should be Avoided
30 Jul, 2019 | 01:23h | UTCChoosing Wisely India: ten low-value or harmful practices that should be avoided in cancer care – The Lancet Oncology (free registration required)
Commentary: 10 Ways to Improve the Value of Cancer Care – Medscape (free registration required)
See other lists of low-value practices in oncology:
– American Society of Clinical Oncology
– Society of Surgical Oncology
– Society of Gynecologic Oncology
– American Society for Radiation Oncology
– Medical Oncology Group of Australia
– Oncology – Choosing Wisely Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Related Commentary on Twitter
Choosing Wisely India lists ten specific practices to avoid because of their low association with clinical benefit #NationalCancerGrid @cspramesh https://t.co/esdP8qX3K6
— NatureRevClinOncol (@NatRevClinOncol) March 12, 2019
Multifaceted Intervention Associated with Reduced Ordering of Unnecessary Laboratory Tests Among Caregivers in Internal Medicine Departments
25 Jul, 2019 | 01:48h | UTC
Healing the Professional Culture of Medicine
16 Jul, 2019 | 09:51h | UTCHealing the Professional Culture of Medicine – Mayo Clinic Proceedings (free)
Related: Understanding organisational culture for healthcare quality improvement – The BMJ (free)
Perspective: An Example of Low Value Health Care—Time to Talk About Money and Opportunity Cost
16 Jul, 2019 | 09:23h | UTCAn example of low value health care—time to talk about money and opportunity cost- The BMJ Opinion (free)