(NEJM, Sept 19) In summary, both colonscopy and fecal occult-blood testing are effective for colorectal-cancer screening, and these new studies support current screening guidelines. Click here to read full-text
News You Can Use
Despite the significant benefit from the steroid injection, nearly 3/4 of the 80 mg methylprednisolone group did ultimately have surgery. Nonetheless, for clinicians counseling their patients with persistent carpal tunnel syndrome symptoms, this trial demonstrates that in addition to providing short-term symptom relief, the injection may result in avoiding surgery in a sizable minority of patients.(Arch Intern Med, Sept 3) Click here to read full text.
Congratulations to Dr. Barry Meisenberg, Bob Wright (Pharm D.) and Cathy Copertino, with acknowledgements to Charles Mylander (staff statistician, Judy Smith (Pharmacy) and Sharon Kneesi (Asst.) for their recently published article in the Sept. issue of Journal of Oncology Practice.. The article concludes, “The number of problem-and error-containing chemotherapy orders was reduced sequentially by preprinted order sets and then by preprinted order sets and then by CPOE. Click here to read full-text.
This JAMA Pediatrics online first article concludes: “compared with children born to mothers who received neither labor induction nor augmentation, children born to mothers who were induced and augmentd, induced only, or augmented only experienced increased odds of autism after controlling for potential confounders related to socioeconomic status, maternal heatlh, pregnancy related events and conditions, and birth year. The observed associations between labor inductions/augmentation were particularly pronounced in male children. Click here to read full-text.
This article by Atul Gawande concludes “Among a sample of patients in the top decile of Midicare spending in 2010, only a small percentage of costs appeared to be related to preventable ED visits and hospitalizations. The ability to lower costs for these patients through better outpatien care may be limited. (JAMA, June 26th) Click here to read full article.
This Jama Internal Medicine “viewpoint (July 22nd) delves into three scenarios in “Choosing Wisely” recommendations as to what constitutes “overuse”: “do not repeat colorectal cancer screening for 10 years after a high quality colonoscopy is negative in average risk indificuals; “don’t use DEXA screening for osteoporosis in women youger than 65 or men younger than 70 with no risk factors”; and “dont init. The article suggests three concepts to aid in decision making: benefit-harm tradeoff; benefit-cost tradeoff; and consideration of patient preference. Click here to read full-text.
“Can physicians change their laboratory test ordering behavior? A new look at an old issue” and “Hospital clinicians’ responsiveness to assay cost feedback”by jmiller on August 9, 2013
These two articles investigate the implementation of feedback of the cost of lab tests and their subsequent ordering patterns. The two articles deal with cost containment strategies for lab tests. (JAMA Intern Med, July 29) Click here to read full text.