Lung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service-level factors on psychosocial outcomes to [...]
Reducing low-value health services is a complex issue, with significant clinical and health policy implications. This is the first randomized study to demonstrate that the consumer Choosing Wisely questions and a video intervention to promote question asking and engagement in SDM may improve participants’ intention [...]
Researchers are moving away from a smallest worthwhile effect threshold and characterising the magnitude of effect as (albeit arbitrary) small, moderate or large, which then leaves the patient to decide whether a small, moderate or large effect is worthwhile for them. In the absence of [...]
Uncertainty is intrinsic to clinical practice, affecting both trainees and experienced clinicians. As Sir William Osler wrote: “Medicine is the science of uncertainty and the art of probability”. Limitations in knowledge, complexities of care, and variation in patient preferences contribute to uncertainty. Personal factors such as [...]
Different studies showed that when patients are better informed about the benefits and harms of interventions (eg, surgeries, screening tests, medications), they tend to decline low-value care. These findings might explain why SDM has been promoted to reduce low-value care. Focusing on the conversations between [...]
Deciding whether it is worthwhile to advise older adults (aged ≥ 65 years) to continue or stop cancer screening is not straightforward for primary care practitioners (PCPs). At a population level, there is evidence that the benefit/harm trade-off of cancer screening becomes less favorable in older adults. The [...]
Health information is less effective when it does not meet the health literacy needs of its consumers. For health organisations, assessing the appropriateness of their existing health information resources is a key step to addressing this issue. This study describes novel methods for a consumer-centred [...]
Overuse is defined as provision of healthcare which is more likely to result in harm than good, and it is fast becoming a threat to human health and the sustainability of health systems worldwide. Overuse may, but not always, increase the risk of overdiagnosis, which [...]
Transvaginal mesh (mesh) surgery was developed through collaborations between surgeons and device manufacturers, in 1996, for the treatment of stress urinary incontinence (incontinence) and/or pelvic organ prolapse (prolapse) in women. It was aggressively promoted to practitioners and rapidly adopted in practice. Clinical trials indicated mesh [...]
Tennis elbow (lateral epicondylitis or lateral elbow tendinopathy) is a self-limiting condition in most patients. Surgery is often offered to patients who fail to improve with conservative treatment. However, there is no evidence to support the superiority of surgery over continued nonoperative care or no [...]