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With massive backlogs across medicine because of COVID, now is a time to think critically and readdress the many aspects of care that we do routinely that provide no value for patients...
Its time to critically evaluate the evidence for many of the cancer screening programs that have never been shown to decrease all cause mortality...
Its time to curtail the endless stream of interventional procedures that aren't needed for stable coronary artery disease...
Its time to stop ordering tests that don't seem to help our patients, like exercise stress tests. Why are we brining people into hospitals for a test with a 45% sensitivity that has never been shown to improve outcomes?...
It is time to stop ordering MRIs to confirm clinically obvious meniscal tears, or taking OR time to perform scopes that have been shown to be unhelpful...
Its time to stop sending patients into the already overcrowded emergency departments with asymptomatic high blood pressure. I don't care what the number is...
Its time to stop ordering MRIs for patients with clear sciatica and no surgical indications. There are so many other patients who will actually benefit from that MRI slot...
Its time to stop asking doctors to write sick notes... these patients shouldn't be in our doctor offices or emergency departments unless they really need to be...
Evidence based medicine has always been essential, but our medical systems are facing massive debts and incredible backlogs because of COVID. It is time to start taking the evidence seriously and eliminate this no value care.
@ChooseWiselyCA @LessIsMoreMed @TheSGEM
@ChooseWiselyCA @LessIsMoreMed @TheSGEM
This is just a short list of the most obvious no value care that came to my mind. Please feel free to add your own suggestions. Maybe we can use COVID to permanently transform medical care for the better.
