This study uses survey data to examine why clinicians still order low-value imaging for nonspecific low back pain contrary to the Choosing Wisely campaign recommendations against it.
This cross-sectional survey study measures changes in outpatient quality and patient experience in the United States from 2002 to 2013 to determine whether efforts to improve outpatient quality have been successful.
This structured review identifies and highlights the 10 original research articles most likely to reduce overuse of medical care.
This study examines why asymptomatic patients who are 65 years and older and undergo revascularization receive initial carotid imaging.
This cohort study estimates the incidence of osteoporosis overtreatment of women in a health system where DXA reports include T scores for anatomic sites that guidelines recommend against using as a basis for treatment.
This randomized clinical trial evaluates the effectiveness of a standardized patient–based intervention designed to enhance primary care physician patient-centeredness and skill in handling patient requests for low-value diagnostic tests.
This study sought to quantify how frequently attending physicians lead discussion of the 5 American College of Physicians test-ordering principles during teaching rounds.
This study examines the trends in the use of computed tomography in patients who present to emergency departments with respiratory symptoms.
This population-level analysis of early trends in use of the services targeted by the Choosing Wisely campaign showed both desirable and undesirable modest changes in use of low-value services, suggesting that additional interventions are necessary for wider implementation of the recommendations.
This case report uses the example of a patient with scurvy to illustrate the importance of the basic history and physical examination, even in the age of more modern technological diagnostic techniques.
Among individuals from the COPDGene cross-sectional observational study, clinical and radiologic evidence of smoking-related disease was identified in a cohort of current and former smokers who did not meet spirometric criteria for chronic obstructive pulmonary disease.
This study reports that few computed tomographic examinations use an appropriately low dose of radiation among adults with suspected urolithiasis.
The authors discuss a case exemplifying the importance of clarifying a patient’s goals of care before conducting a surveillance computed tomographic scan of an asymptomatic tumor.