As many as 25% of screening colonoscopies are unnecessary, study finds
As many as 25% of screening colonoscopies are not consistent with national guidelines, according to a recent systematic review. More
As many as 25% of screening colonoscopies are not consistent with national guidelines, according to a recent systematic review. More
Low back pain is one of the most common health problems in the world and one of the most common causes of overuse -- but there is some good news. More
A group of advocates has been sounding the alarm about the risk of side effects from benzodiazepines, even when taken as directed. An upcoming documentary tells their stories. More
Every day, 750 adults age 65 or older are hospitalized for serious side effects from a medication, according to the Lown Institute. One Lown Institute study found that you are 88 percent more likely to seek care for a drug complication or side effect if you take five or more medications. Other research shows that your fall risk increases 7 percent for each medication you take. More
Will devices like the Apple Watch that continuously monitor heart rhythm reduce rates of stroke? The evidence still isn't there, the USPSTF finds. More
To reduce harmful overmedication, we need to give doctors and patients opportunities to deprescribe. One pharmacy benefit manager has already started providing prescription checkups for their members -- here's how their program is working so far. More
After CMS restricted access to Aduhelm, Biogen and the Alzheimer's Association called the decision discriminatory. Here's why we're skeptical... More
The Medsafer study shows how clinical decision tools can help doctors deprescribe more in the hospital. More
New research from Johns Hopkins evaluates overuse at more than 600 health systems. How do their results compare to those of the Lown Hospitals Index? More
Many cancer patients experience financial toxicity due to the high cost of care -- and low-value services play a role, new study shows. More
How can hospitals and policymakers better measure overuse and reduce overuse in hospitals, and what role can rankings play? On November 3, US News & World Report hosted an event on the topic featuring overuse experts. Watch the video recording to see the full discussion! More
Despite the known risks, dentists still prescribe too many opioids to young adults and teens. How can we reverse this pattern? More
Overuse of antipsychotic medications is a long-standing problem among nursing home residents with dementia. However, a 2012 policy to address the problem may have unintentionally created a new problem of overdiagnosis. More
Does an aspirin a day keep the doctor away? It used to be the conventional wisdom that taking low-dose aspirin helped prevent a first heart attack or stroke. However, the evidence isn't there to back up this practice. More
The Lown Hospitals Index evaluates more than 3,000 hospitals on 12 low-value services. Researchers at the Harvard Medical School and Dartmouth Institute have released a new tool, expanding the measurement of 41 low-value services across hospital and non-hospital settings. More
In Modern Healthcare, Lisa Gillespie reviews the evidence and incentives that drive some hospitals to overuse spinal fusion procedures. She cites research from the Lown Institute in collaboration with Australian academics published this year, which shows that spinal fusions for stenosis and other conditions not backed by strong evidence of effectiveness are associated with poor outcomes. Out of seven low-value procedures, inpatient spinal fusions were affiliated the most with hospital-acquired conditions, adverse patient safety indicators and unplanned hospital admissions after outpatient procedures, their review of Medicare claims from 2016 to 2018 found. “If, on average, this thing doesn’t work, the burden is on you to tell me why for this particular patient, it’s going to work, beyond just a faith-based argument,” said Dr. Vikas Saini, president of the Lown Institute. More
The FDA approved Alzheimer's drug Aduhelm for all people with mild dementia -- but most of this population is at an increased risk of side effects from the drug. More
As orthopedic surgeries have become more prevalent, researchers are taking a closer look at the evidence behind them...or lack thereof. More
A quirk in the electronic health record system means that it's much harder for clinicians to discontinue medications than prescribe them. More
Recent national data are lacking on the prevalence, safety, and prescribers of opioid prescriptions dispensed to children and young adults aged 0 to 21 years. More