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Comment & Response
August 2019

In Low-Value Care, Less Is (Not Always) More

Author Affiliations
  • 1Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada
  • 2Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada
JAMA Intern Med. 2019;179(8):1147. doi:10.1001/jamainternmed.2019.1881

To the Editor Although Badgery-Parker and colleagues1 should be commended for their efforts to identify low-value procedures in their recently published Original Investigation, their analysis, where they conclude that “These procedures probably should not have been provided,” fails to capture the nuances of value or appropriateness. I will restrict my comments to endovascular repair of abdominal aortic aneurysms (EVAR), which comprised 6.9% of the 9330 cases.

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