Tag Archives: Evidence

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 percent of colonoscopies performed in Medicare beneficiaries in Texas who were aged 70 years and older who had a colonoscopy in 2008 or 2009. They also examined a nationwide sample of 5% of Medicare claims. Colonscopies were classified as “screening” if records (including claims from 2000 to 2009) did not indicate a diagnosis, or

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 who voluntarily provided 13,500 patient volunteers with access to their doctors’ notes for a year. To read details, read further, but some results in brief : patients loved being able to read their visit report, and 75% said they were more likely to take medicines as directed; doctors didn’t see increased patient anxiety, visits, or time demands. Meanwhile,

Top