Clinical Practice Guidelines: Not only ineffective and dangerous, but expensive too!
Quality indicators are becoming progressively more accepted among health care reformers, who believe that the quality of a physician’s...
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An Inside Look at Health Care for the Elderly and Medicare
By Andy Lazris, MDby
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What Placebos Can Tell us About Clinical Practice Guidelines
My first and most memorable experience with placebos occurred when I was a medical resident at University of Virginia. We were on the...
Chronic Kidney Disease, Prilosec, and Fuzzy Math.
This week the major media outlets published results of a JAMA Internal Medicine study linking proton pump inhibitor (PPI, medicines like...
Feel the Burnout: Medicare reform and increased burnout of physicians
Periodically in this blog we discuss physician burnout. A recent medscape survey showed a fairly significant increase in burnout among...
PSA: Medicare's poster child for a bad screening test (but what about all the other bad screeni
PSA has always been a poster child of cancer screening. On the one hand, it does prevent the spread of prostate cancer in some people...
A Cut to the Jugular for Primary Care Docs.
It is all transpiring under the radar. No one seems to care. Few are fighting it, even fewer are reporting on it. And yet the...
The SPRINT Blood Pressure Study: Small Numbers, Questionable Significance
Finally the SPRINT numbers have been published, and the results are both unimpressive and of questionable significance. In a highly...
An Inexpensive Test that can Reduce Overtreatment? Maybe....
Coronary Artery Calcification can be scored by a CT scan (CAC score) and may help determine who may or may not be at risk of having a...
A Novel Way to Present Health Information
Erik Rifkin and I published an op-ed in the Baltimore Sun on November 2 (CLICK HERE FOR LINK) discussing the use of BRCTs in the media. ...
Hold the Presses: Landmark Blood Pressure Study Fails to Prove Anything.
In a front page article, multiple major newspapers (including the Washington Post and New York Times) cite the results of an NIH study...
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