Too Many Colonoscopies in Over-75s?

A study published in the March 11 JAMA-Internal Medicine suggests that 23 percent of over-75-year-olds have colonoscopies that may be “potentially inappropriate” according to national guidelines which include an upper age limit, as well as how often negative colonoscopies should be repeated. In a retrospective population study, University of Texas researchers looked at billings for 100…  Read More

Patient Involvement in Decision-Making: A long way to go

This week brings some excellent reading about why and how to educate patients so they can help make better decisions about their own care. What happens when patients get to read their own medical records? The Oct. 2nd  Annals of Internal Medicine published two editorials and results of a quasi-experimental trial of 100 primary care doctors…  Read More