Explore this JAMA Internal Medicine series documenting the ways that overuse of medical care fails to improve outcomes, harms patients, and wastes resources.
This diagnostic study compares the specificity and sensitivity of comercial fecal immunochemical tests with a multitarget stool DNA test.
This cohort study examines if rates of overtreatment of men with prostate cancer with limited life expectancy have persisted in the active surveillance era and whether overtreatment varies by tumor risk or treatment type.
This case report describes a 57-year-old man with end-stage kidney disease who was receiving hemodialysis through a tunneled central venous catheter and had severe hyperkalemia that prompted admission for emergent hemodialysis.
This randomized clinical trial examines the effect of a benzodiazepine taper plus augmented cognitive behavioral therapy for insomnia program vs an unmasked taper plus standard cognitive behavioral therapy for insomnia.
This cohort study investigates the association between antihypertensive deprescribing and changes in cognitive function in nursing home residents.
This study examines gabapentinoid deprescribing using a novel approach of direct-to-consumer educational brochures intended to empower older adults to initiate a discussion on gabapentinoid risks and tapering.
This pragmatic nonrandomized multisite clinical trial examines the effectiveness of patient-directed educational materials provided before primary care appointments in promoting deprescribing for low-benefit and high-risk medication groups.
This case report describes a man in his 40s with evidence of malignant J wave syndrome on electrocardiography.
This Teachable Moment discusses providing patients with an opportunity to initiate dietary change before prescribing statin therapy for even severely high low-density lipoprotein cholesterol levels.
This cohort study compares 90-day mortality in patients with sepsis who received piperacillin-tazobactam vs cefepime for treatment of sepsis.
This essay describes the author’s experience of improved patient care and collaboration the day the electronic medical records system went down.
This cohort study using a target trial emulation approach assesses whether initiating antihypertensive medication is associated with increased fracture risk among older long-term Veterans Health Administration nursing home residents.
This systematic review and meta-analysis examines the association of rapid respiratory virus testing in patients with suspected acute respiratory infection with decreased antibiotic use, ancillary tests, emergency department length of stay and return visits and hospitalization, and increased influenza antiviral treatment.
This ÌÇÐÄvlog Insights reassesses the approach to caring for older adults with diabetes in the context of newly available pharmacologic agents.
This case report describes a patient in their 70s with hypertension and heart failure presenting to the emergency department with chest discomfort, nausea, anorexia, and weakness.
This cluster randomized clinical trial tests whether the Committing to Choose Wisely behavioral economic intervention could engage primary care clinicians and older patients to reduce low-value care.
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