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Primary-care practitioners lean toward potentially excessive care, study shows Getty Images Primary-care practitioners tend to overestimate the risk of common conditions based on symptoms and test results, leading to potentially excessive and harmful care, a new study shows. Residents, attending physicians, nurse practitioners and physician assistants estimated a 70% likelihood of cardiac ischemia in patients who had a positive stress test when the actual likelihood is 2% to 11%, researcher s analysis of 533 practitioners found. Survey respondents also estimated a 50% risk of breast cancer after a positive finding on a mammogram when evidence shows only a 3% to 9% risk. There was a similar trend in urinary tract infection diagnoses, with practitioners projecting an 80% likelihood of a UTI after a positive urine culture when the real risk is at most 8%, according to the study published in JAMA.

Daniel morganLinda aikenHealth outcomesServices administrationHealth resourcesUniversity of maryland school medicineUniversity of pennsylvania centerBureau of labor statisticsMaryland schoolLabor statisticsPennsylvania centerPolicy researchModern healthcareடேனியல் மோர்கன்லிண்டா ஐகேன்ஆரோக்கியம் ஔட்கம்ஸ்