Journal ArticleDOI
Appropriate Use of Screening and Diagnostic Tests to Foster High-Value, Cost-Conscious Care
Amir Qaseem,Patrick C. Alguire,Paul Dallas,Lawrence E. Feinberg,Faith T Fitzgerald,Carrie Horwitch,Linda Humphrey,Richard F. LeBlond,Darilyn V. Moyer,Jeffrey G. Wiese,Steven E. Weinberger +10 more
TLDR
The American College of Physicians convened a workgroup of physicians to identify, using a consensus-based process, common clinical situations in which screening and diagnostic tests are used in ways that do not reflect high-value care.Abstract:
To begin to identify ways that practicing clinicians can contribute to the delivery of high-value, cost-conscious health care, the American College of Physicians convened a workgroup of physicians ...read more
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Journal ArticleDOI
Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report
Clive Kearon,Elie A. Akl,Elie A. Akl,Joseph Ornelas,Allen J. Blaivas,David Jiménez,Henri Bounameaux,Menno V. Huisman,Christopher S. King,Timothy A. Morris,Namita Sood,Scott M. Stevens,Janine R.E. Vintch,Philip S. Wells,Scott C. Woller,Lisa K. Moores +15 more
TL;DR: Recommendations on 12 topics that were in the 9th edition of these guidelines are updated, and 3 new topics are addressed.
Journal Article
American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain: Part 2 - Guidance
Laxmaiah Manchikanti,Salahadin Abdi,Sairam Atluri,Carl C. Balog,Ramsin M Benyamin,Mark V. Boswell,Keith R. Brown,Brian Mendoza Bruel,David A. Bryce,Patricia A. Burks,Allen W. Burton,Aaron K. Calodney,David Caraway,Kimberly A Cash,Paul J. Christo,Kim S Damron,Sukdeb Datta,Timothy R. Deer,Sudhir Diwan,Ike Eriator,Frank J E Falco,Bert Fellows,Stephanie Geffert,Christopher Gharibo,Scott E. Glaser,Jay S. Grider,Haroon Hameed,Mariam Hameed,Hans Hansen,Michael E. Harned,Salim M. Hayek,Standiford Helm,Joshua A Hirsch,Jeffrey W. Janata,Alan D. Kaye,Adam M. Kaye,David Kloth,Dhanalakshmi Koyyalagunta,Marion Lee,Yogesh Malla,Kavita N. Manchikanti,Carla D McManus,Vidyasagar Pampati,Allan T. Parr,Ramarao Pasupuleti,Vikram B. Patel,Nalini Sehgal,Sanford M. Silverman,Vijay P. Singh,Howard S. Smith,Lee T. Snook,Daneshvari R. Solanki,Deborah H. Tracy,Ricardo Vallejo,Bradley W. Wargo +54 more
TL;DR: A robust agreement which is followed by all parties is essential in initiating and maintaining opioid therapy as such agreements reduce overuse, misuse, abuse, and diversion.
Journal ArticleDOI
Lyme Disease Testing by Large Commercial Laboratories in the United States
Alison F. Hinckley,Neeta P. Connally,James I. Meek,Barbara J. B. Johnson,Melissa M. Kemperman,Katherine A. Feldman,Jennifer L. White,Paul S. Mead +7 more
TL;DR: LD testing is common and costly, with most testing in accordance with diagnostic recommendations, and the importance of considering clinical and exposure history when interpreting laboratory results for diagnostic and surveillance purposes is highlighted.
Journal Article
Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines.
Laxmaiah Manchikanti,Adam M. Kaye,Nebojsa Nick Knezevic,Heath B. McAnally,Andrea M. Trescot,Susan Blank,Vidyasagar Pampati,Salahadin Abdi,Jay S. Grider,Alan D. Kaye,Kavita N. Manchikanti,Harold Cordner,Christopher Gharibo,Michael E. Harned,Sheri L. Albers,Sairam Atluri,Steve M. Aydin,Sanjay Bakshi,Robert L. Barkin,Ramsin M Benyamin,Mark V. Boswell,Ricardo M. Buenaventura,Aaron K. Calodney,David L. Cedeño,Sukdeb Datta,Timothy R. Deer,Bert Fellows,Vincent Galan,Vahid Grami,Hans Hansen,Standiford Helm,Rafael Justiz,Dhanalakshmi Koyyalagunta,Yogesh Malla,Annu Navani,Kent H. Nouri,Ramarao Pasupuleti,Nalini Sehgal,Sanford M. Silverman,Thomas T. Simopoulos,Vijay P. Singh,Konstantin V. Slavin,Daneshvari R. Solanki,Peter S. Staats,Ricardo Vallejo,Bradley W. Wargo,Arthur Watanabe,Joshua A Hirsch +47 more
TL;DR: These guidelines are intended to provide a systematic and standardized approach to this complex and difficult arena of practice, while recognizing that every clinical situation is unique.
Journal ArticleDOI
Engaging Physicians and Consumers in Conversations About Treatment Overuse and Waste: A Short History of the Choosing Wisely Campaign
TL;DR: The authors describe the rationale for and history of the Choosing Wisely campaign, its structure and approach in terms of engaging both physicians and patients, lessons learned, and future steps.
References
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Biomedical Informatics: Computer Applications in Health Care and Biomedicine
TL;DR: In this paper, the authors discuss the future of medical computing applications in health care, including computer-based patient-record systems, information-retrieval systems, and decision support systems.
Journal ArticleDOI
Diagnostic Imaging for Low Back Pain: Advice for High-Value Health Care From the American College of Physicians
TL;DR: Implementing a selective approach to low back imaging, as suggested by the American College of Physicians and American Pain Society guideline on low back pain, would provide better care to patients, improve outcomes, and reduce costs.
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Probability theory in the use of diagnostic tests. An introduction to critical study of the literature.
TL;DR: Understanding is provided of methods that are useful in formulating advice about when to use diagnostic tests and the limitations of most studies of the sensitivity and specificity of diagnostic tests.
Journal ArticleDOI
High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions
TL;DR: Assessing the benefits, harms, and costs of an intervention is essential to understand whether it provides good value and the incremental cost-effectiveness ratio estimates the additional cost required to obtain additional health benefits and provides a key measure of the value of a health care intervention.