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https://www.readbyqxmd.com/read/28076262/physician-cost-consciousness-and-use-of-low-value-clinical-services
#1
Michael Grover, Neena Abraham, Yu-Hui Chang, Jon Tilburt
PURPOSE: Choosing Wisely(TM) engaged medical specialties, creating "top 5 lists" of low-value services. We describe primary care physicians' (PCPs') self-reported use of these services and perceived barriers to guideline adherence. We quantify physician cost consciousness and determine associations with use. METHODS: PCP attendees of a continuing medical education conference completed a survey. For each Family Medicine Choosing Wisely behavior, participants reported clinical adherence...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28068948/women-s-preferences-for-childbirth-experiences-in-the-republic-of-ireland-a-mixed-methods-study
#2
Patricia Larkin, Cecily M Begley, Declan Devane
BACKGROUND: How women experience childbirth is acknowledged as critical to the postnatal wellbeing of mother and baby. However there is a knowledge deficit in identifying the important elements of these experiences in order to enhance care. This study elicits women's preferences for the most important elements of their childbirth experiences. METHODS: A mixed methods design was used. An initial qualitative phase (reported previously) was followed by a second quantitative one using a discrete choice experiment (DCE), which is reported on here...
January 10, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28068176/routine-use-of-intensity-modulated-radiotherapy-for-locally-advanced-non-small-cell-lung-cancer-is-neither-choosing-wisely-nor-personalized-medicine
#3
David Ball, Michael Mac Manus, Shankar Siva, Nikki Plumridge, Mathias Bressel, Tomas Kron
No abstract text is available yet for this article.
January 9, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28029605/how-should-radiation-oncologists-interpret-the-astro-evidence-based-guideline-and-astro-choosing-wisely-campaign-for-the-treatment-of-uncomplicated-bone-metastases
#4
Srinivas Raman, Ronald Chow, Peter Hoskin, Edward Chow
No abstract text is available yet for this article.
January 2017: Practical Radiation Oncology
https://www.readbyqxmd.com/read/28018764/specialty-preferences-and-the-factors-influencing-them-among-pre-clerkship-medical-students-the-first-study-from-alfaisal-university-college-of-medicine-saudi-arabia
#5
Nouf Alsubaie, Hadeel S Aldhofaian, Lamya Alhuwaimel, Noorah Ruxshan, Fatimah Alghamdi, Ahmad Shamia, Ahmed Abu-Zaid
AIM: To explore the specialty preferences and the factors influencing them among pre-clerkship (second-year and third-year) medical students at Alfaisal University-College of Medicine, Riyadh, Saudi Arabia. METHODS: An online, anonymous, cross-sectional, self-rating survey was administered. The survey explored socio-demographical data, specialty preferences and the factors influencing such preferences. A gender-wise statistical analysis was performed. RESULTS: Two hundred fifty-two students participated in the survey (n=252/308; response rate: 81...
November 23, 2016: Curēus
https://www.readbyqxmd.com/read/27987574/-new-choosing-wisely-recommendations-of-inappropriate-interventions-the-perspective-of-general-practioners-in-switzerland
#6
Stefan Neuner-Jehle, Oliver Senn, Thomas Rosemann
AIM: As part of the "Choosing wisely" campaign expert-driven recommendations of inappropriate interventions which lead to overdiagnosis and overtreatment are being published. The aim of our work was to describe an innovative method for developing recommendations together with general practitioners (GPs) and to compare the results with the "Choosing wisely" campaign lists as well as with the Swiss "Smarter medicine" shortlist. METHODS: We asked 109 GPs who attended a medical education conference to form groups (of 5 to 7 GPs each) and develop three interventions that are relevant to their work and should be avoided...
December 2016: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/27977647/choose-wisely-is-more-always-better
#7
EDITORIAL
Deborah Read, Derek Sherwood, Sue Ineson
No abstract text is available yet for this article.
December 16, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27976799/carbamazepine-versus-phenobarbitone-monotherapy-for-epilepsy-an-individual-participant-data-review
#8
REVIEW
Sarah J Nolan, Anthony G Marson, Jennifer Weston, Catrin Tudur Smith
BACKGROUND: This is an updated version of the original Cochrane Review, first published in Issue 1, 2003 and updated in 2015. This review is one in a series of Cochrane Reviews investigating pair-wise monotherapy comparisons.Epilepsy is a common neurological condition in which abnormal electrical discharges from the brain cause recurrent unprovoked seizures. It is believed that with effective drug treatment, up to 70% of individuals with active epilepsy have the potential to become seizure-free and go into long-term remission shortly after starting drug therapy with a single antiepileptic drug in monotherapy...
15, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27929212/top-poems-of-2015-consistent-with-the-principles-of-the-choosing-wisely-campaign
#9
Roland Grad, Mark H Ebell
The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings submitted by physician members of the Canadian Medical Association in the context of their continuing medical education. In the 251 unique POEMs delivered to these physicians in 2015, an average of 1,284 physician ratings were received per POEM...
October 1, 2016: American Family Physician
https://www.readbyqxmd.com/read/27929210/top-poems-for-choosing-wisely-another-tool-to-help-physicians-practice-good-medicine
#10
Jay Siwek
No abstract text is available yet for this article.
October 1, 2016: American Family Physician
https://www.readbyqxmd.com/read/27919427/-lose-the-tube-a-choosing-wisely-initiative-to-reduce-catheter-associated-urinary-tract-infections-in-hospitalist-led-inpatient-units
#11
Hyung J Cho, Steve Khalil, Jashvant Poeran, Madhu Mazumdar, Nathaniel Bravo, Fran Wallach, Brian Markoff, Nathan Lee, Andrew S Dunn
We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27913455/inherited-thrombophilia-a-double-edged-sword
#12
Saskia Middeldorp
Inherited thrombophilia is a blood coagulation disorder that increases the risk for venous thromboembolism (VTE). During the last decades, the practice of testing has evolved from testing selected populations, leading to high perceived risks, to broad testing for various conditions that included VTE, arterial thrombosis, and pregnancy complications. Because results of such tests usually do not guide treatment decisions, not testing patients with VTE for inherited thrombophilia is on the "Choosing Wisely" list endorsed by multiple specialty societies, including ASH...
December 2, 2016: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/27886530/choosing-wisely-the-impact-of-patient-selection-on-efficacy-and-safety-outcomes-in-the-einstein-dvt-pe-and-amplify-trials
#13
Jan Beyer-Westendorf, Anthonie W A Lensing, Roopen Arya, Henri Bounameaux, Alexander T Cohen, Philip S Wells, Saskia Middeldorp, Peter Verhamme, Rodney Hughes, Nils Kucher, Akos F Pap, Mila Trajanovic, Martin H Prins, Paolo Prandoni, Jeffrey I Weitz
BACKGROUND: The results of the EINSTEIN-DVT/PE and AMPLIFY trials, which compared rivaroxaban and apixaban with conventional anticoagulation therapy for acute venous thromboembolism (VTE), respectively, are often compared. However, the trials differed in duration of therapy (3-12 and 6months, respectively) and in patient selection (few exclusion criteria and more stringent exclusion criteria, respectively). METHODS: To determine the effect of these methodological differences on outcomes, the patients enrolled in EINSTEIN-DVT/PE were divided into 2 cohorts; the 5253 patients that matched the exclusion criteria for AMPLIFY and were treated for at least 6months (cohort 1) and the 2368 patients who would have been ineligible for AMPLIFY (cohort 2)...
January 2017: Thrombosis Research
https://www.readbyqxmd.com/read/27880738/an-adaptive-reconstruction-algorithm-for-spectral-ct-regularized-by-a-reference-image
#14
Miaoshi Wang, Yanbo Zhang, Rui Liu, Shuxu Guo, Hengyong Yu
The photon counting detector based spectral CT system is attracting increasing attention in the CT field. However, the spectral CT is still premature in terms of both hardware and software. To reconstruct high quality spectral images from low-dose projections, an adaptive image reconstruction algorithm is proposed that assumes a known reference image (RI). The idea is motivated by the fact that the reconstructed images from different spectral channels are highly correlated. If a high quality image of the same object is known, it can be used to improve the low-dose reconstruction of each individual channel...
December 21, 2016: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/27878797/choosing-wisely-at-the-end-of-life-the-crucial-role-of-medical-indication
#15
Gian Domenico Borasio, Ralf J Jox
At the end of life, several treatments are administered routinely that lack medical indication and may cause significant harm to patients. Examples include artificial hydration and oxygen therapy in the dying phase, as well as enteral nutrition in advanced dementia. Medical indication is defined as the appropriateness of a therapeutic or diagnostic measure in the patient's concrete clinical situation, in light of the best available evidence. The decision about the absence or presence of a medical indication is a core competence of physicians...
2016: Swiss Medical Weekly
https://www.readbyqxmd.com/read/27869883/-pugni-e-botte-ai-medici-choosing-wisely-o-protezione-di-s%C3%A3
#16
Ugo Indraccolo
Riassunto. Si riporta un caso in cui l'ostetrico è stato picchiato e insultato dal marito di una paziente, senza alcuna ragione. Il marito della paziente aveva seguito dei personali, errati, convincimenti a proposito del travaglio e del parto. Siccome i pazienti pretendono esami e procedure inutili ignorando i suggerimenti dei medici, colpevoli del nostro fallimento nel non seguire lo "choosing wisely" sono i pazienti.
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27856139/overuse-targets-for-choosing-wisely-do-emergency-physicians-and-nurses-agree
#17
Arjun K Venkatesh, April Anderson, Craig Rothenberg, Vivek Parwani, Ian Schwartz, Jeannie Haggan, Mark Sevilla, Marc J Shapiro
No abstract text is available yet for this article.
November 5, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27855098/choosing-wisely-assessment-of-current-us-top-five-list-recommendations-trustworthiness-using-a-pragmatic-approach
#18
Karl Horvath, Thomas Semlitsch, Klaus Jeitler, Muna E Abuzahra, Nicole Posch, Andreas Domke, Andrea Siebenhofer
OBJECTIVES: Identification of sufficiently trustworthy top 5 list recommendations from the US Choosing Wisely campaign. SETTING: Not applicable. PARTICIPANTS: All top 5 list recommendations available from the American Board of Internal Medicine Foundation website. MAIN OUTCOME MEASURES/INTERVENTIONS: Compilation of US top 5 lists and search for current German highly trustworthy (S3) guidelines. Extraction of guideline recommendations, including grade of recommendation (GoR), for suggestions comparable to top 5 list recommendations...
October 7, 2016: BMJ Open
https://www.readbyqxmd.com/read/27849863/221-choosing-wisely-an-apn-led-initiative-to-reduce-unnecessary-chest-x-rays-in-the-cardiovascular-icu
#19
Lauren Oliver, Jayme Gibson, April Kapu, Ruth Kleinpell, Wade Iams, Pierce Trumbo
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27845867/choosing-wisely-opportunities-for-improving-value-in-cancer-care-delivery
#20
Gabrielle B Rocque, Courtney P Williams, Bradford E Jackson, Audrey S Wallace, Karina I Halilova, Kelly M Kenzik, Edward E Partridge, Maria Pisu
INTRODUCTION: Patients, providers, and payers are striving to identify where value in cancer care can be increased. As part of the Choosing Wisely (CW) campaign, ASCO and the American Society for Therapeutic Radiology and Oncology have recommended against specific, yet commonly performed, treatments and procedures. METHODS: We conducted a retrospective analysis of Medicare claims data to examine concordance with CW recommendations across 12 cancer centers in the southeastern United States...
November 15, 2016: Journal of Oncology Practice
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