Not Too Hot, Not Too Cold, but "Just Right".
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 29109494.
- Also identified by DOI 10.1038/ajg.2017.358.
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Abstract
When ordering diagnostic tests, physicians are faced with a problem of not too many tests, not too few, but 'just right'. However, in medical diagnostics 'just right' may be very difficult to identify. Such is the conundrum presented in study by Rubenstein and colleagues regarding appropriate use of repeat esophagogastroduodenoscopy (EGD) in Veterans Health Administration (VHA) medical facilities. The important message of this paper is that out of 235,855 patients with an index EGD, 36% underwent repeat EGD over 5 years, of which only 9% (range 3-18%a cross VHA facilities) were classified as probable overuse.
Medical subject headings
- Veterans
- Veterans Health