August 2019 Learning Network Resources

Upcoming Webinars and Discussions

Tuesday, September 17 at 4:00PM EST

Join us for the Choosing Wisely Learning Network webinar series, “What Patients Want: A Case Study and Implementation Ideas,” with speakers Kristen Jenks and Randi Oster from Help Me Health. Engaging patients in care decisions is enhanced if all healthcare professionals have a robust understanding of what patients want and how to design a patient experience focus into their everyday work; this case study shows one way to accomplish that.

Watch a recording of this webinar.

Blogs, Issue Briefs, Opinion Pieces and More…


Journals

  • Calderon E, Webb C, Kosiorek HE, Gray RJ, Cronin P, Anderson K, Northfelt D, McCullough A, Ocal IT, Pockaj B. Are we choosing wisely in elderly females with breast cancer? The American Journal of Surgery. August 2019

    “The Choosing Wisely Organization and the American College of Surgeons have issued recommendations for patients >70 with breast cancer involving screening and use of radiation therapy (RT) and sentinel lymph node biopsies (SNLB) in early stage tumors. This study evaluated compliance and implementation of these recommendations.”
     
  • Miles RC, Lee CI, Sun Q, Bansal A, Lyman GH, Specht JM, Fedorenko CR, Greenwood-Hickman MA, Ramsey SD, Lee JM. Patterns of Surveillance Advanced Imaging and Serum Tumor Biomaker Testing Following Launch of the Choosing Wisely Initiative. JNCCN. July 2019

    “Although our study shows that guideline-discordant care may be declining after the launch of Choosing Wisely, nonrecommended surveillance testing remains prevalent. Continued efforts to reduce low-value care are needed to reduce costly, unnecessary tests and procedures, with special focus on surveillance tumor biomarker testing.”
  • Bowers HM, Williams SJ, Geragthy AW, Maund E, O’brien W, Leydon G, May CR, Kendrick T. Helping people discontinue long-term antidepressants: views of health professionals in UK primary care. BMJ Open. July 2019

    “These findings highlight a need to support HPs in antidepressant discontinuation in terms of providing specific information and guidance on how to discontinue antidepressants. They also suggest HPs would benefit from support and guidance around fears of patient relapse and awareness of the need to initiate discussions about discontinuation.”
     
  • Annals of Internal Medicine. July 2019. Rate of Opioid Prescriptions for Patients With Acute Ankle Sprain. Finney FT, Gossett TD, Hu HM, Waljee JF, Brummett CM, Walton DM, Talusan PG, Holmes JR.

    “This study identified a large cohort of opioid-naive patients who received nonsurgical treatment of ankle sprain and showed a relatively high rate of opioid prescription and persistent use. It is imperative that clinicians identify which injuries are appropriate for opioid therapy and develop and adhere to appropriate evidence-based prescribing guidelines.”
     
  • Kwan ML, Miglioretti DL, Marlow EC, Bowles EJA, Weinmann S, Cheng SY, Deosaransingh KA, Chavan P, Moy LM, Bolch WE, Duncan JR, Greenlee RT, Kushi LH, Pole JD, Rahm AK, Stout NK, Smith-Bind R. Trends in Medical Imaging During Pregnancy in the United States and Ontario, Canada, 1996 to 2016. JAMA Open Network. July 2019

    “The use of CT during pregnancy substantially increased in the United States and Ontario over the past 2 decades. Imaging rates during pregnancy should be monitored to avoid unnecessary exposure of women and fetuses to ionizing radiation.”
     
  • Grigoryan L, Germanos G, Zoorob R, Juneja S, Raphael JL, Paasche-Orlow MK, Trautner BW. Use of Antibiotics Without a Prescription in the U.S. Population: A Scoping Review. Annals of Internal Medicine. July 2019

    “Nonprescription antibiotic use is a seemingly prevalent and understudied public health problem in the United States. An increased understanding of risk factors and pathways that are amenable to intervention is essential to decrease this unsafe practice. Nonprescription antibiotic use is a seemingly prevalent and understudied public health problem in the United States. An increased understanding of risk factors and pathways that are amenable to intervention is essential to decrease this unsafe practice.”

Media Coverage

  • Do You Need All Those Meds? How To Talk To Your Doctor About Cutting Back. National Public Radio. August 2019

    “It’s a common problem for many older adults. You may have more than one doctor and each prescribes a different drug for a different illness. Before you know it, you’re taking multiple medications and start feeling tired, dizzy or nauseous. Your doctor interprets that as a new symptom for a new disease and prescribes yet another drug.”
     
  • Study: Millions Should Stop Taking Aspirin for Heart Health. The New York Times. July 2019

    “Some 29 million people 40 and older were taking an aspirin a day despite having no known heart disease in 2017, the latest data available, according to a new study from Harvard and Beth Israel Deaconess Medical Center. About 6.6 million of them were doing so on their own — a doctor never recommended it.”
     
  • ‘Avoidable’ ER Visits Fuel Health Care Costs. U.S. News. July 2019

    “The staggering amount of money the U.S. spends on health care each year – expected to reach about $6 trillion by 2027 – is being driven in part by patients who get treatment in hospital emergency departments with problems a primary care doctor likely could solve, according to a data analysis released Monday by UnitedHealth Group.”
     
  • Do You Need That Surgery? How To Decide, And How To Pick A Surgeon If You Do. National Public Radio. July 2019

    “Sometimes, surgery is a slam-dunk solution to your medical problem. If you have recurrent pain from gallstones, for example, you almost always need to get your gallbladder removed — and it’s usually not safe to try to deal with it without surgery. But there are plenty of medical problems that aren’t easily solved by surgery, like back or shoulder pain. This can be frustrating, and you’ll need to make a personal decision if the benefits of the procedure really outweigh the risks.”