overuse

7 03, 2019

Paper of the Week 07.03.2019: Future Directions in Valuing Benefits for Estimating QALYs: Is Time Up for the EQ-5D?

2019-03-07T12:21:36+00:00

Reference: Brazier J. E. et al (2019  This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V’s Founding Director. Bottom line, chosen by Muir from the paper This raises the issue of what is meant by “well-being.” A broad conception of well-being is how well an individual’s life is going on. Subjective well-being (SWB) has been described or categorised into 3 types: hedonism (well-being increases when an individual experiences more pleasure and/or less pain), flourishing theories (well-being increases when an individual fulfils their nature as a human being, or “flourishes”), and life evaluation or life satisfaction (well-being increases when an individual positively assesses his or her life). The notion of SWB is [...]

Paper of the Week 07.03.2019: Future Directions in Valuing Benefits for Estimating QALYs: Is Time Up for the EQ-5D?2019-03-07T12:21:36+00:00
1 03, 2019

Paper of the week 27.02.19: Has the NHS Long Term Plan forgotten we are all going to die?

2019-03-01T11:14:40+00:00

Reference: Has the Long Term Plan forgotten we are all going to die? (Bleakley T., Smith R., Taylor R) This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V’s Founding Director. Bottom line, chosen by Muir from the paper "One certainty is that there will be a lot of dying in the next 10 years as the baby boomers become the dying boomers... Increasingly, people endure slow deaths of frailty, often with dementia in the final years. Increased life expectancy is generally regarded as a cause for celebration, but many people fear dependency and dementia more than they fear death... Between a quarter and a third of health-care expenditure is for care [...]

Paper of the week 27.02.19: Has the NHS Long Term Plan forgotten we are all going to die?2019-03-01T11:14:40+00:00
10 01, 2019

Paper of the week 10.01.19: International variation in radiation dose for computed tomography examinations

2019-01-10T12:00:47+00:00

Reference: International variation in radiation dose for computed tomography examinations: prospective cohort study. Rebecca Smith-Bindman et al BMJ 2019;364:k4931 This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V Executive Director. Bottom line The authors conclusion was that: Variation was chiefly driven by how machines were used, rather than by patient or machine manufacturer or model.       Implications for value improvement  This is an example of what has been called a ‘one tailed curve’ namely a distribution curve where we are clear about what is good and what is not good. In this case lower doses are better than higher doses because there is no evidence that the higher dose improves outcome. [...]

Paper of the week 10.01.19: International variation in radiation dose for computed tomography examinations2019-01-10T12:00:47+00:00
21 12, 2018

Paper of the week: Temporal trends in use of tests in UK primary care

2018-12-21T10:47:25+00:00

This weeks paper of the week focuses on 'Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests'. Listen to the podcast to hear author Jack O'Sullivan talk about this paper with 3V's Dr Tim Wilson Reference: O’Sullivan Jack W, Stevens Sarah, Hobbs F D Richard, Salisbury Chris, Little Paul, Goldacre Benet al. Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests BMJ 2018; 363 :k4666 3V's Bottom Line There has been an 8% per annum increase in testing in UK primary care. Some of this increase will represent better monitoring or attempts to make earlier diagnoses. But some may represent overuse of testing, and certainly the impact of the increase is not just in the cost of testing, [...]

Paper of the week: Temporal trends in use of tests in UK primary care2018-12-21T10:47:25+00:00