Explore this JAMA Internal Medicine series documenting the ways that overuse of medical care fails to improve outcomes, harms patients, and wastes resources.
This database analysis quantifies the rate of use and cost of self-monitoring blood glucose supplies that are potentially used inappropriately, specifically focusing on test strips.
This study uses 3 distinct statistical approaches to examine the association between use of inferior vena cava filters and mortality rates in Medicare fee-for-service beneficiaries with pulmonary embolism.
This cluster-randomized clinical trial assesses whether a targeted electronic health record alert achieves similar advances to multicomponent interventions and safely reduces unnecessary monitoring.
This study quantifies variation in provision of low-value health care services among primary care physicians and estimates the proportion of variation attributable to physician characteristics that may be indicative of performance among Medicare beneficiaries.
This study analyzes electronic diagnostic test ordering habits of internal medicine resident physicians at an academic medical center and during academic year 2016-2017.
This population-based survey study uses data from the US National Health and Aging Trends Study to describe the attitudes of older Medicare beneficiaries toward deprescribing and whether individual characteristics are associated with these attitudes.
This Teachable Moment describes the case of a 58-year-old man with bilateral knee osteoarthritis who presented to the emergency department with 1 week of dizziness and intermittent dark stools.
This Viewpoint examines how the term intensive care unit may contribute to patient and physician expectations of more invasive and aggressive therapies, and suggests that a change in the nomenclature may be a first step in realigning patient and physician expectations from burdensome treatment towoard a more patient-centered approach.
This essay discusses the use of “I” statements in communicating a prognosis to patients.
This cohort study evaluates factors associated with the transition to long-term benzodiazepine use among older adults newly prescribed this drug by a nonpsychiatric clinician.
This study uses the Florida State Ambulatory Surgery and State Inpatient Databases to assess the trends in knee arthroscopy use among patients with osteoarthritis, meniscal tears, and knee pain.
This cohort study uses drug benefit claims data in Ontario, Canada, to estimate the frequency of and variation in prescription nonsteroidal anti-inflammatory drug (NSAID) use among high-risk patients with musculoskeletal disorders and hypertension, heart failure, or chronic kidney disease (CKD) and identifies characteristics associated with prescription NSAID use and its potential association with short-term, safety-related outcomes.
This study analyzes data from the Danish Lung Cancer Screening Trial to determine the amount of overdiagnosis of computed tomography–detected lung cancer.
This analysis assesses the quality of shared decision making between clinicians and patients eligible for lung cancer screening regarding the initiation of lung cancer screening in clinical practice.
This Special Communication reviews case reports of overused medical tests and treatments and maps out 6 domains of negative consequences for patients.
This cohort study examines how often clinicians opt for clinical surveillance over therapeutic anticoagulation for patients with subsegmental pulmonary embolisms.
This study examines the use of a limited transthoracic echocardiogram (TTE) that evaluates only the left ventricle and its association with overall use of TTE.
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