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Undertreatment Improves, but Overtreatment Does Not

Undertreatment Improves, but Overtreatment Does Not EDITORIAL LESS IS MORE Undertreatment Improves, but Overtreatment Does Not HEN WE LAUNCHED THE “LESS IS ment, we would expect equal progress to be made on all More” series, it was with the goal 3 types of indicators. The true pattern was much more of correcting what we see as a interesting. Six of the 9 underuse indicators improved; prevalent bias in American medi- 1 of 2 of the misuse indicators improved; but only 2 of W cine: that more care (more diag- the 11 overuse indicators improved and 1 got signifi- nostic tests, more treatments, more procedures) is bet- cantly worse (prostate screening became more common ter care. As modern medicine has produced some among men older than 74 years). spectacular interventions, including antibiotics for in- Clearly, there is much work to be done to overcome fections, antiretroviral agents for persons with human im- the bias toward overtreatment. We are heartened by re- munodeficiency virus infection, detailed imaging through cent efforts to decrease overuse, including the Ameri- computed tomography, and magnetic resonance imaging can Board of Internal Medicine’s “Choosing Wisely” cam- to obviate the need for diagnostic surgery, it is not sur- paign and the National Physicians Alliance’s http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Undertreatment Improves, but Overtreatment Does Not

Undertreatment Improves, but Overtreatment Does Not

Abstract

EDITORIAL LESS IS MORE Undertreatment Improves, but Overtreatment Does Not HEN WE LAUNCHED THE “LESS IS ment, we would expect equal progress to be made on all More” series, it was with the goal 3 types of indicators. The true pattern was much more of correcting what we see as a interesting. Six of the 9 underuse indicators improved; prevalent bias in American medi- 1 of 2 of the misuse indicators improved; but only 2 of W cine: that more care (more diag- the 11 overuse indicators...
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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.2361
pmid
23266796
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL LESS IS MORE Undertreatment Improves, but Overtreatment Does Not HEN WE LAUNCHED THE “LESS IS ment, we would expect equal progress to be made on all More” series, it was with the goal 3 types of indicators. The true pattern was much more of correcting what we see as a interesting. Six of the 9 underuse indicators improved; prevalent bias in American medi- 1 of 2 of the misuse indicators improved; but only 2 of W cine: that more care (more diag- the 11 overuse indicators improved and 1 got signifi- nostic tests, more treatments, more procedures) is bet- cantly worse (prostate screening became more common ter care. As modern medicine has produced some among men older than 74 years). spectacular interventions, including antibiotics for in- Clearly, there is much work to be done to overcome fections, antiretroviral agents for persons with human im- the bias toward overtreatment. We are heartened by re- munodeficiency virus infection, detailed imaging through cent efforts to decrease overuse, including the Ameri- computed tomography, and magnetic resonance imaging can Board of Internal Medicine’s “Choosing Wisely” cam- to obviate the need for diagnostic surgery, it is not sur- paign and the National Physicians Alliance’s

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jan 28, 2013

References