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Primary care physicians (PCPs) are seen as gatekeepers to reduce spending on low-value health care services, which have been estimated to cost the health care system up to $100 billion annually. A brief research report published in
Annals of Internal Medicine analyzed how much low-value spending is directly related to PCPs services and referral decisions.
Researchers from the American Board of Family Medicine, Harvard, Mount Sinai, and Stanford analyzed Medicare Part B claims between 2007 and 2014 to estimate the share of Medicare beneficiaries low-value spending that was directly related to their PCP s services or referrals. Low-value services were identified using a consensus set of 31 services previously judged to be low-value by national physician societies, Medicare criteria, and clinical guidelines. Such services include imaging for non-specific back pain, PSA screening for men over the age of 75, and arthroscopic surgery for knee ost
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In a comprehensive review of SEER (Surveillance, Epidemiology, and End Results) 18 data researchers analyzed histologic colorectal subtypes independently and found that some lesions categorized as colorectal cancer may potentially be lower-risk tumors. The findings are published in
Annals of Internal Medicine.
Data indicate that adenocarcinomas are increasing in most early-onset subgroups, but that carcinoids, a distinct type of tumor, are increasing at a faster rate, at least in part because of increased detection and case capture by cancer registries.
Researchers from Tulane University Medical Center reviewed SEER 18 data from 2000 to 2016 for 119,624 patients with colorectal cancer to assess early-onset colorectal cancer incident rates and changes in incident rates over time, stratified by histologic subtype (primarily adenocarcinoma and carcinoid tumors). Adenocarcinoma is key to analyze because it is a target for prevention through scre