The case described in this Teachable Moment demonstrates that clinicians should consider the costs and downsides of additional imaging when acute abdominal pain is deemed nonurgent by clinical assessment.
This study identified characteristics that made clinicians more likely to order low-value imaging tests for patients with low-back pain and headache.
This Teachable Moment highlights how the use of nil per os orders can lead to complications.
This Teachable Moment uses the details of a case report to evaluate the risks and benefits of staging imaging in early-stage breast cancer.
This retrospective cross-sectional analysis examines the specificity and consistency of recommendations for surveillance after active treatment across cancer guidelines.
This systematic review describes the findings of studies evaluating clinicians’ estimations of the benefits and harms associated with testing and treatment.
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 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 Teachable Moment discusses how aggressive physicians should be in screening for an occult cancer in patients with unprovoked venous thromboembolism.
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.
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