Value-based Care
Research: Comparison of Hospital Resource Use and Outcomes Among Hospitalists, Primary Care Physicians, and Other Generalists
20 Nov, 2017 | 14:16h | UTCEditorial: The Costs and Benefits of Hospital Care by Primary Physicians: Continuity Counts (free)
Audio interview: Hospital Resource Use and Outcomes Among Generalist Physicians (free)
Commentaries: Study: For Inpatients, Primary Care Docs Outperform Hospitalists – MedPage Today (free registration required) AND Mortality Lower When Inpatients See Their Own PCP in Hospital – Medscape (free registration required)
Meta-Analysis: Choice of implant combinations in total hip replacement
20 Nov, 2017 | 14:07h | UTCCommentary: What is the most effective type of hip implant combination for patients undergoing a hip replacement? – University of Bristol (free)
“…there is no evidence that any of the newer hip implant combinations, such as ceramic or uncemented, are better than the widely used small head metal-on-plastic cemented hip combination, which has been commonly used since the 1960s”.
Opinion: The case against hospital beds
11 Nov, 2017 | 19:18h | UTCThe case against hospital beds – Politico (free)
Debate: the case for and against screening for breast cancer with mammography
11 Nov, 2017 | 17:00h | UTCDebate: the case for and against screening for breast cancer with mammography
The case for mammography: Routine mammograms do save lives: The Science – The Conversation (free)
The case against mammography: Routine mammograms do not save lives: The research is clear – The Conversation (free)
Related: Make Screening Mammography Personal, Say the French – Medscape (free registration required)
“The debate over breast cancer screening continues, with disagreements about the start age, frequency, mortality effect, overdiagnosis, and overtreatment” (from Medscape)
Review: The Value of Preoperative Assessment Before Noncardiac Surgery in the Era of Value-Based Care
11 Nov, 2017 | 16:55h | UTCRelated guidelines: 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery (free) AND 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management (free) AND Routine preoperative tests for elective surgery – NICE Guideline (free) AND Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery (free) AND 3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology (free)
Choosing Wisely: Twenty Things Physicians and Patients Should Question
6 Nov, 2017 | 14:34h | UTCChoosing Wisely: Twenty Things Physicians and Patients Should Question – American Society for Clinical Pathology (free)
Commentary: More Lab Tests Deemed Inappropriate – Medscape (free registration required)
See more on the Choosing Wisely initiative in our April 5 issue (see #6)
Research: Economic impact of palliative care among elderly cancer patients
5 Nov, 2017 | 19:42h | UTCEconomic impact of palliative care among elderly cancer patients – presented at: 2017 Palliative and Supportive Care in Oncology Symposium (free abstract)
Commentaries: Palliative Care Associated With Decreased Costs For Patients With Advanced Cancer – Oncology Nurse Advisor (free) AND Early Palliative Care Is Key Driver in Reducing Costs – Medscape (free registration required)
Related study: Effect of Palliative Care on Aggressiveness of End-of-Life Care Among Patients With Advanced Cancer – Journal of Oncology Practice (link to abstract – $ for full-text) AND Commentaries: Palliative Care May Substantially Decrease Health-Care Utilization in Patients With Advanced Cancer – ASCO Post (free) AND End-of-Life Palliative Care Lowered Utilization for Patients With Cancer – AJMC (free)
Related guideline: Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update (free)
Research: Influence of pharmaceutical marketing on prescriptions
5 Nov, 2017 | 19:20h | UTCCommentaries: The More Lavish the Gifts to Doctors, the Costlier the Drugs They Prescribe – The New York Times (10 articles per month are free) AND Study finds even small gifts from pharma companies change prescribing habits – FierceHealthcare (free) AND Pharma gifts to providers result in more branded, expensive prescriptions – Georgetown University Medical Center, via EurekAlert (free)
Research: Robotic-Assisted vs Conventional Laparoscopic Surgery
29 Oct, 2017 | 00:57h | UTCEffect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Related Study: Association of Robotic-Assisted vs Laparoscopic Radical Nephrectomy With Perioperative Outcomes and Health Care Costs, 2003 to 2015 – JAMA (free)
Commentaries: Comparison of Outcomes for Robotic-Assisted vs Laparoscopic Surgical Procedures – The JAMA Network (free) AND Robotic docs can boost surgery time and cost – Science News (free) AND Robot-assisted surgery for kidney removal associated with longer operating times, higher cost – Stanford Medicine (free) AND Robotic-assisted surgery: more expensive, but not always more effective – Reuters (free)
Toolkit for reducing repetitive routine blood draws in hospitals
29 Oct, 2017 | 00:20h | UTCA toolkit for reducing repetitive routine blood draws in hospitals – Choosing Wisely Canada (free PDF)
News release: Toolkit: Pause the Draws (free)
How Hospitals Are Using Patient-Reported Outcomes to Improve Care
24 Oct, 2017 | 16:37h | UTCHow Hospitals Are Using Patient-Reported Outcomes to Improve Care – Harvard Business Review (a few articles per month are free)
Report: the economic costs of lung disease and the cost effectiveness of policy and service interventions
23 Oct, 2017 | 20:43h | UTCLiterature review: the economic costs of lung disease and the cost effectiveness of policy and service interventions – British Lung Foundation and British Thoracic Society (free PDF)
News release: New report identifies the most cost effective NHS activities and programmes to improve lung health – British Thoracic Society (free)
Source: Most cost effective treatments for lung disease identified – The BMJ News ($)
“The most cost effective treatments are: patient education and self management for asthma; stop smoking support for chronic obstructive pulmonary disease (COPD); vaccination programmes for pneumonia; and awareness campaigns for lung cancer” (from The BMJ).
Last Month in Oncology with Dr. Bishal Gyawali: September 2017
17 Oct, 2017 | 19:10h | UTCLast Month in Oncology with Dr. Bishal Gyawali: September 2017 – eCancer News (free)
Research – The Value of Community Oncology: Site of Care Cost Analysis
17 Oct, 2017 | 18:05h | UTCThe Value of Community Oncology: Site of Care Cost Analysis – Community Oncology Alliance (free PDF)
News release: New Study Determines Cancer Care Delivered In Hospital Outpatient Setting Much More Expensive Than In Independent, Community Oncology Practices (free)
Commentary: Community Cancer Care ‘Much Cheaper’ Than Hospital – Medscape (free registration required)
Individual support of nurses using electronic medicine monitors can improve HIV treatment
17 Oct, 2017 | 17:51h | UTCIndividual support of nurses using electronic medicine monitors can improve HIV treatment – NIHR Signal (free)
Original article: Effectiveness and cost-effectiveness of a nurse-delivered intervention to improve adherence to treatment for HIV: a pragmatic, multicentre, open-label, randomised clinical trial – The Lancet Infectious Diseases (free)
Research: Discontinuing Inappropriate Medication Use in Nursing Home Residents
12 Oct, 2017 | 18:18h | UTCDiscontinuing Inappropriate Medication Use in Nursing Home Residents: A Cluster Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Deprescribing Intervention Improves Nursing Home Care – Medscape (free registration required) AND Multistep tool is effective for discontinuing inappropriate medication use in the nursing home setting – MedicalXpress (free)
Systematic Review: 2017 Update on Medical Overuse
7 Oct, 2017 | 22:39h | UTC2017 Update on Medical Overuse: A Systematic Review – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Study highlights 10 most unnecessary and overused medical tests and treatments – University of Maryland School of Medicine, via EurekAlert (free)
Research: Communication-And-Resolution Programs
7 Oct, 2017 | 22:33h | UTCOutcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs – Health Affairs (link to abstract – $ for full-text)
Commentaries: After medical error, apology goes a long way – Stanford University Medical Center, via ScienceDaily (free) AND Conflict Resolution Program: ‘Cause for Optimism’ – MedPage Today (free registration required)
Choosing Wisely Canada: Nine Things Nurse Practitioners and Patients Should Question
1 Oct, 2017 | 16:17h | UTCNew Guide from Choosing Wisely Canada: Nine Things Nurse Practitioners and Patients Should Question – Nurse Practitioner Association of Canada (free)
See more on the Choosing Wisely initiative in our April 5 issue (see #6)
Systematic Review: Impact of Transitional Care Services for Chronically Ill Older Patients
1 Oct, 2017 | 15:19h | UTCImpact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review – Journal of The American Geriatrics Society (link to abstract – $ for full-text)
Viewpoint: The High Cost of Public Reporting
1 Oct, 2017 | 15:20h | UTCThe High Cost of Public Reporting – The Health Care Blog (free) (RT @CMichaelGibson)
Opinion: Health Care Is So Expensive Because You Don’t Pay For It Yourself
24 Sep, 2017 | 20:17h | UTCHealth Care Is So Expensive Because You Don’t Pay For It Yourself – The Federalist (free) (RT @mduanemd and @kennylinafp)
A Collaborative Cardiologist-Intensivist Management Model Improves Cardiac Intensive Care Unit Outcomes
20 Sep, 2017 | 20:52h | UTCCommentary: New Study Shows Novel Collaborative Intensive Care Can Significantly Improve Treatment for Heart Patients – and Cut Costs – NewsWise (free)
Study: Blood Management Program Reduces Unnecessary Transfusions and Costs
18 Sep, 2017 | 14:54h | UTCImplementing a Health System–wide Patient Blood Management Program with a Clinical Community Approach – Anesthesiology (link to abstract – $ for full-text)
Commentary: Johns Hopkins Health System Reduces Unnecessary Transfusions With New Blood Management Program (free)
Related: High value quality improvement – High Value Practice Academic Alliance (free)
Systematic Review: Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer
16 Sep, 2017 | 18:21h | UTCOriginal article: Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer – Cochrane Library (link to abstract – $ for full-text)
“Urinary and sexual quality of life-related outcomes appear similar”.