A new field by research worker from the University of Maryland School of Medicine ( UM SOM ) has sought to find the most unnecessary and overused aesculapian discussion used in 2016 in the US .
Their findings were recently bring out inJAMA Internal Medicine . The researchers studied over 2,252 articles , more than half of which specifically addressed aesculapian overutilisation . The intent of the study was not to disgrace any practitioners , the researcher say . Instead , they desire their determination will be used to develop strategy to make health care more effectual . Many of the most overused techniques were observe to be very complex and in - deepness procedures , however , the same results can be achieve using flashy , safe , and simpler methods .
" Too often , wellness care practician do not bank on the tardy evidence and their patients do n’t get the best care,“saidlead generator Daniel Morgan . " Hopefully this cogitation will circularise the word about the most overused trial and treatments . "
So , without further ado , these were the top 10 most overdrive aesculapian procedures in 2016 :
Transesophageal Echocardiography : This procedure uses high - frequency sound waves to produce detailed images of the heart . Although it has a report for being more sensitive than other method , doctors can reach the same conclusions with images obtained from much elementary test . It ’s also more invasive , requires drugging , and entail more potential risk .
Computed Tomography Pulmonary Angiography ( CTPA):Over late years , this psychometric test has been used more and more in exigency department to aid diagnose pulmonic embolism , the blockage of a bloodline vessel in the lung . However , there are many other tests you may use that are less wild , less expensive , and do n’t expose the patient role to radiation syndrome and contrast dye .
Computed Tomography ( CT ) in Patients with Respiratory symptom : The study found that this was overused in patients who had non - life - peril respiratory symptoms . In these cases , CT does not enhance the outcome of the patient and can cause false incontrovertible event . It also model risks to patients by exposing them to radiotherapy .
Carotid Artery Ultrasonography and Stenting : Over 90 pct of the time , this treatment is performed under uncertain or inappropriate indications , hint that it is often unnecessary . As both stenting and surgery dumbfound danger to the affected role , both the test and the procedure are probably used too much .
Aggressive Management of Prostate Cancer : Just 1 percent of humanity who had their prostate gland removed kick the bucket of the Crab . That ’s the same charge per unit as the workforce who did not receive the operation . prostate gland cancer discourse can also importantly increase the hazard of cavernous disfunction and other problem . The researchers indicate that aggressively address prostate cancer is often not worth the risk in many scenarios .
Supplemental Oxygen Does Not Help Patients with COPD and Moderate Lack of Oxygen : Giving spare O to patients with the lung illness inveterate clogging pulmonary disease , who had only modest atomic number 8 shortage , did not improve either their quality of life or functioning of their lungs .
OR for Meniscal Cartilage bout in the knee joint : take surgery for a meniscus tear did not improve symptom . There are , however , other strategies that can be more effective , which entailfewer risks and lower cost .
Little Benefit to Nutritional Support in Medical Inpatients : This study appear at 3,376 patients with malnutrition or a peril of malnutrition . The researchers found that " nutritional financial backing therapy , " whether received orally or administered straight into the GI nerve tract , did n’t concentrate the affected role ’s chances of dying , becoming infected with a hospital - take on infection , or their length of stoppage .
antibiotic : Nearly half of all antibiotic exercise is incompatible . Not only is this be money and prison term , it ’s also conduce to antibiotic opposition , perhapsone of the great problemsset to run into the earth in the come geezerhood . However , grant to a study used in this research , attain doctors compare the antibiotics that they dictate with their peers could lower inappropriate prescriptions from 20 percent to less than 4 percentage .
subdue the Use of Unnecessary Cardiac Imaging : Using advanced cardiac imaging on patients suffering from chest botheration has more than triple over the past 10 years . Many crushed - risk affected role could be given noninvasive tests that conduct to unneeded hospitalization and intervention . A study has antecedently designate that if doctor and patients make decisions together , the number of tests used decreases .
