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Risk Estimation in Type 2 Myocardial Infarction and Myocardial Injury: The TARRACO Risk Score

Despite adverse prognoses of type 2 myocardial infarction and myocardial injury, an effective, practical risk stratification method remains an unmet clinical need. We sought to develop an efficient clinical bedside tool for estimating the risk of major adverse cardiovascular events at 180 days for this patient population. METHODS The derivation cohort included patients with type […]

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Proportion of patients with at least one unnecessary test based on chart review, frequency with which testing led to a change in patient management and the overall outcome of testing on patients.

The Frequency of Unnecessary Testing in Hospitalized Patients

Testing is an important part of medicine across all specialties and settings. As a result, the volume of testing is enormous, with an estimated 4-5 billion tests performed in the United States each year.1 Unnecessary laboratory testing and diagnostic imaging is believed to be common. Studies looking at testing of patients have found 40%-60% of tests […]

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Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!

Nosocomial malnutrition in hospitalized adults is a morbid, costly, and potentially preventable and treatable problem. Although recognized as contributing to many serious complications of hospitalization, malnutrition is often missed when present on admission and rarely diagnosed if it occurs during hospital stay. Many routine clinical practices such as holding nutrition for testing or failing to […]

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Trends in osteoporosis screening by age among women enrolled in commercial or Medicare Advantage plans, 2008-2014.

Trends and Disparities in Osteoporosis Screening Among Women in the United States, 2008-2014

The United States Preventive Services Task Force recommends universal osteoporosis screening among women ages 65+ and targeted screening of younger women, but historically, adherence to these evidence-based recommendations has been suboptimal. Methods To describe contemporary patterns of osteoporosis screening, we conducted a retrospective analysis using the OptumLabs™ Data Warehouse, a database of de-identified administrative claims, which […]

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Mammography Screening Among the Elderly: A Research Challenge

Black and white women aged 75 to 84 years who had an annual mammography had lower 10-year breast cancer mortality than corresponding women who had biennial or no/irregular mammography.   Background Randomized trials demonstrate clear benefits of mammography screening in women through age 74 years. We explored age- and race-specific rates of mammography screening and […]

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Thomas Boyer, MD, AJM Associate Editor

Searching for the Holy Grail

The Search for the Holy Grail: Doing More with Less In the movie Indiana Jones and the Holy Grail when Jones and others are confronted with numerous cups, only one of which is the Grail, the advice of the old Knight Templar is to “choose wisely.” In the movie, the cup that is least appealing […]

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