RT Journal
T1 LEss is more
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD April 12
VO 170
IS 7
SP 584
OP 584
DO 10.1001/archinternmed.2010.48
UL http://dx.doi.org/10.1001/archinternmed.2010.48
AB 
To stimulate a conversation on this topic, the editors of the Archives are excited to launch a new feature: “Less Is More.” This feature will identify articles that document cases in which less health care results in better health and offer commentary on the specific implications. Some examples of this phenomenon from recent issues of the Archives include evidence that (1) the risk of developing cancer in association with unnecessary computed tomographic scans is substantial1- 3; (2) there is a wide variation in the use of feeding tubes in nursing homes, with no demonstrable benefit of their use4; (3) there is unexplained variation in use of antipsychotic agents in nursing homes, many for patients without any indications for use5; and (4) there is evidence that elderly persons do the same or better with careful drug discontinuation.6 We also invite our readers to submit vignettes from actual patient encounters or clinical experiences that illustrate how less is more.