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'Perverse Incentives' Perpetuate Use of Disproven Medical Treatments



In what researchers are calling "the largest and most comprehensive study of medical (finding) reversal," they identify 146 medical practices that have been refuted by subsequent studies, but which continue to be used by providers.



1 comments on "'Perverse Incentives' Perpetuate Use of Disproven Medical Treatments"
Jeff angel, M D (8/7/2013 at 2:53 PM)

Cheryl, The article is timely. It overstates some obvious flaws in our medical system. But to take those instances( which a lot are dated)[INVALID]yes, most have quit doing a lot of those practices and say the whole system is better if we do less is oversimplification to the point of intellectual disingenuity. And on top of that, to infer that docs/surgeons dont pay attention to guidelines, changes is absurd. As an orthpaedic surgeon, I spend about 2 hours of my thoughts per week on checking protocols and patient care decision processes.Many hours are spent adjusting treatment regimens including not doing acromioplasties automatically with rotatorcuff repairs, not doing knee scopes on patients with macerated meniscii and worn out knees, not doing a TKA until patient had stepped mgmt including tylenol, nsaid, injections, wt loss, aerobic activity, cane; and also runnjng an osteoporosis clinic with my PA to treat patients for osteoporosis for fragility fractures and put them on agents . Very offensive approach to tell docs we do everything wrong!!!! Most of what we do is right and we do respond!!! Your study is an over generalization of a very complex problem[INVALID][INVALID]-what defines a good study and what constitutes changing practice standards. Shane on those who say terms like perverse and we should do less...in some cases yes, but to damn the system is ignorant or dishonest.