Value-based Care
Guideline: To buy or not to buy—evaluating commercial AI solutions in radiology
10 Mar, 2021 | 08:15h | UTCCommentary: Top 10 questions to ask when buying radiology AI software – AuntMinnie
Systematic Review | Automated-Entry Patient-Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes
5 Mar, 2021 | 08:21h | UTCFull report: Automated-Entry Patient Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes
An evidence review of low-value care recommendations: Inconsistency and lack of economic evidence considered
5 Mar, 2021 | 08:16h | UTC
Commentaries on Twitter
https://twitter.com/dollendorf/status/1364373501260550147
In our new @JournalGIM paper led by @ddkim62 a review of 1167 “low-value care” recommendations across five US organizations found evidentiary rationales for low-value care vary substantially, with most recommendations relying on clinical evidence. https://t.co/cdbMTPps73
— CEVR (@TuftsCEVR) February 24, 2021
Requests for brand name over generic prescription drugs cost the Medicare program $1.7 billion in a single year, study finds
3 Mar, 2021 | 08:31h | UTCOriginal study: Factors Associated With Prescriptions for Branded Medications in the Medicare Part D Program – JAMA Network Open
Commentary on Twitter
Economic evaluation finds prescribers & patients motivated 30% of branded drug dispensing in Medicare Part D, an incremental annual cost of $1.7 billion Medicare & $270 million to patients vs switching to generics. @dr_msocal @GeBaiDC @JohnsHopkinsSPH https://t.co/MkVJdzLczG
— JAMA Network Open (@JAMANetworkOpen) March 3, 2021
Who gets a COVID-19 vaccine and who pays? The need for economic analysis
2 Mar, 2021 | 02:02h | UTC
Commentary on Twitter
NEW from @CGDev and @idsihealth — experts look at the potential of Health Technology Assessment (HTA) on informing how much #COVID19 vaccine countries should buy, who should pay, and how vaccines can be most effectively delivered.
Read: https://t.co/KuMZSARSEF #GlobalHealth
— Center for Global Development (@CGDev) February 24, 2021
New report reviews methods for reducing waste, improving efficiency with expensive injectable medications
28 Feb, 2021 | 21:29h | UTCOriginal report: Medications in Single Dose Vials: Implications of Discarded Drugs (2021) – National Academies of Sciences, Engineering, and Medicine
Commentary on Twitter
"significant amounts of expensive injectable or infused drugs, distributed in single-dose vials, are discarded" but hard to quantify.
Medications in Single-Dose Vials and Implications of Discarded Injectable Drugs: A National Academies Report https://t.co/z3ebKGIcEg
— Suresh Nirody – snirody.eth (@snirody) February 26, 2021
Editorial: Bundled payment models in oncology
17 Feb, 2021 | 01:16h | UTCEditorial: Bundled Payment Models in Oncology: Learning to Think in New Ways – JCO Oncology Practice
Counterpoint: Oncology Care Model: A Herculean Effort With Fixable Fatal Flaws – JCO Oncology Practice
Effectiveness of telerehabilitation in physical therapy: A rapid overview
16 Feb, 2021 | 01:53h | UTCEffectiveness of telerehabilitation in physical therapy: A rapid overview – Physical Therapy
Near-equivalence in oncology: Generating evidence to support alternative cost-effective treatments
11 Feb, 2021 | 02:02h | UTC
Commentary on Twitter
Thoughtful piece with real implications for decreasing costs and improving access to cancer care – with particular relevance in low- and middle-resource settings although applicable in all settings. https://t.co/MkQx6Gzte4
— Julie Gralow (@jrgralow) February 10, 2021
Choosing Wisely for Critical Care: The Next Five
9 Feb, 2021 | 01:07h | UTCChoosing Wisely For Critical Care: The Next Five – Critical Care Medicine
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Commentary on Twitter
Critical Care Choosing Wisely: The Next Five
📌Don't retain catheters/drains w/o an indication
📌Don't delay liberation from MV
📌Don't continue antibiotics unnecessarily
📌Don't delay mobilizing patients
📌Don't provide goal-discordant carehttps://t.co/kSsMh33Okc pic.twitter.com/V9zGb2MLXY— Başak Çoruh (@basakcoruhUW) February 1, 2021
Systematic review: Payment methods for healthcare providers working in outpatient healthcare settings
27 Jan, 2021 | 00:56h | UTCSummary: Payment methods for healthcare providers in outpatient healthcare settings – Cochrane Library
Commentary on Twitter
Payment methods for #healthcare providers in #outpatient healthcare settings https://t.co/wY6LKEmhbZ New @CochraneEPOC systematic review w evidence from 27 studies suggests that different payment methods can affect healthcare provider behaviour in both positive and negative ways.
— Cochrane (@cochranecollab) January 21, 2021
2021 ACC Expert Consensus: Same-day discharge after percutaneous coronary intervention
13 Jan, 2021 | 02:05h | UTCCommentaries: 2021 ACC Expert Decision Pathway on Same-Day Discharge After PCI – American College of Cardiology AND Checklist for Same-Day Discharge PCI Stresses Buy-In, and a Plan – TCTMD AND Same-Day Discharge After PCI: ACC Expert Consensus Decision Pathway – Cardiology Advisor AND Ticking all the right boxes for same-day discharge PCI – MDedge Cardiology
Case series: Safety of same‐day discharge after uncomplicated, minimalist transcatheter aortic valve replacement in the COVID‐19 era
13 Jan, 2021 | 02:03h | UTCCommentary: Pandemic Prompts Closer Look at Same-Day Discharge After TAVI – TCTMD
Commentary on Twitter
With dwindling hospital capacity from #COVID19, study of safety of same‐day discharge after #TAVR @emoryhealthcare available via @CCIJournal. SDD after uncomplicated #TAVR in selected patients may open beds & prevent unnecessary CV morbidity. https://t.co/fuTdVUrFu5
— Chandan Devireddy (@drdevireddy) December 31, 2020
Perspective: Reinventing pediatrics through video care first
3 Nov, 2020 | 02:57h | UTCReinventing Pediatrics Through Video Care First – JAMA Pediatrics (free for a limited period)
Five things clinicians and patients should question in Pediatric Cardiology
3 Nov, 2020 | 02:59h | UTCCommentary: Choosing Wisely: Practices to Question in Pediatric Cardiology – NEJM Journal Watch
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Deimplementation in Pediatrics: Past, Present, and Future
3 Nov, 2020 | 02:56h | UTCDeimplementation in Pediatrics: Past, Present, and Future – JAMA Pediatrics (free for a limited period)
Can covid-19 help us deal with the pandemic of defensive medicine?
2 Nov, 2020 | 02:28h | UTCCan covid-19 help us deal with the pandemic of defensive medicine? – The BMJ Opinion
Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery
29 Oct, 2020 | 09:07h | UTCRelated Systematic Review: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research AND Summary: People leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR
See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Commentary on Twitter
Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study- https://t.co/VRZ1LKzEvJ pic.twitter.com/2G1InEcIEZ
— AJOG (@AJOG_thegray) October 27, 2020
Video consultations in primary and specialist care during the covid-19 pandemic and beyond
21 Oct, 2020 | 09:30h | UTCVideo consultations in primary and specialist care during the covid-19 pandemic and beyond – The BMJ
[Abstract Only] Study: Excess days in acute care provide a more comprehensive picture of hospital performance compared to 30-day readmission rates
21 Oct, 2020 | 09:04h | UTCEvaluation of Hospital Performance Using the Excess Days in Acute Care Measure in the Hospital Readmissions Reduction Program – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Excess Days in Acute Care Provide More Comprehensive Picture of Hospital Performance Compared to 30-day Readmission Rates – AboutHealthTransparency.org AND EDAC: A ’More Comprehensive Picture of Hospital Use’ – Physician’s Weekly
Five things clinicians and patients should question in public health
15 Oct, 2020 | 09:05h | UTCFive Things Clinicians and Patients Should Question – Choosing Wisely Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Meta-analysis: Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness
14 Oct, 2020 | 09:18h | UTCEditorial: Palliative Care for Patients With Noncancer Illnesses
Commentary on Twitter
In this meta-analysis of RCTs of patients with primarily noncancer illness (mostly heart failure) palliative care was associated w less acute health care use & lower symptom burden, with no difference in quality of life https://t.co/ZtH6w48vz4 @kieranlquinn
— JAMA (@JAMA_current) October 13, 2020
Updated Choosing Wisely Canada recommendations: Tests and treatments to question in obstetrics and gynecology
7 Oct, 2020 | 09:02h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Commentary on Twitter
Today, @SOGCorg releases 3 new #choosingwisely recs (#10-12) of tests and treatments to question in #obstetrics & #gynaecology
See the new recs: https://t.co/vFSmJcqY0y pic.twitter.com/luNgGedz2n
— Choosing Wisely Canada (@ChooseWiselyCA) October 5, 2020
De-adopting low-value care: Evidence, eminence, and economics
4 Oct, 2020 | 23:20h | UTCDe-adopting Low-Value Care: Evidence, Eminence, and Economics – JAMA (free for a limited period)
Author Interview: De-Adopting Low-Value Care—Evidence, Eminence, and Economics
Commentary on Twitter
Evidence alone is NOT sufficient for many healthcare professionals to abandon low-value treatments that provide little or no benefit to patients.
Often it's only when their financial reimbursement is reduced or stopped that their use declines quickly. https://t.co/YiggZyqUMp
— The Sp⚽️rts Physio (@AdamMeakins) October 3, 2020
Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers
1 Oct, 2020 | 08:58h | UTC
Commentary on Twitter
Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs
— Olaf Geerse (@OlafGeerse) September 30, 2020