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Overuse of health care services: when less is more…more or less

by jmiller on August 9, 2013

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.

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