This Teachable Moment describes levothyroxine therapy in elderly patients who might not have subclinical hypothyroidism.
This study examines low-value health care spending among US adults ages 18 to 64 years using data from Optum Clinformatics Datamart of UnitedHealthcare commercial claims for 2011 to 2013.
This study uses Medicare data to characterize physician ordering of low-value breast cancer services including imaging for staging low-risk disease and IMRT after breast-conservation surgery.
This structured review identifies and highlights the 10 original research articles most likely to reduce overuse of medical care.
This cohort study investigates whether referral to the hospital is associated with better outcomes in a population of patients presenting with hypertensive urgency in the office setting.
This pharmacoepidemiology study uses claims data to investigate the association between intensive glucose-lowering treatment and severe hypoglycemia among adults with type 2 diabetes between 2001 and 2013.
This Teachable Moment explores whether carotid duplex ultrasonography for possible syncope should be used as part of a preopeartive workup.
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 Viewpoint discusses strategies for prevent overprescribing of opioids while still effectively treating patients in chronic pain.
Impacts of a Medical Directive for Urinary Catheter Removal by Nurses
This Special Communication identifies and highlights articles published in 2014 that are most likely to influence medical overuse, organized into the categories of overdiagnosis, overtreatment, and methods to avoid overuse.