2018 Update on Pediatric Medical Overuse: A Review

@article{Coon20192018UO,
  title={2018 Update on Pediatric Medical Overuse: A Review},
  author={Eric R. Coon and Ricardo A. Quinonez and Daniel J. Morgan and Sanket S. Dhruva and Timmy Ho and Nathan M Money and Alan R. Schroeder},
  journal={JAMA Pediatrics},
  year={2019},
  volume={173},
  pages={379–384}
}
Importance Efforts to combat medical overuse have gained traction in recent years, but success has been intermittent and shortcomings have been recognized. A commitment to a strong evidence base is needed to more broadly engage clinicians and reduce overuse. Observations A structured MEDLINE search and a manual review of tables of contents from selected high-impact journals was performed to identify original research published in 2017 relevant to pediatric overuse. Articles were scored from low… 
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2017 Update on Pediatric Medical Overuse: A Review
TLDR
Findings included evidence of overtreatment with commercial rehydration solution, antidepressants, and parenteral nutrition; overmedicalization with planned early deliveries, immobilization of ankle injuries, and use of hydrolyzed infant formula; and evidence of overdiagnosis of hypoxemia among children recovering from bronchiolitis.
Update on Pediatric Overuse
TLDR
Using a structured PubMed search and manual tables of contents review, important articles on pediatric overuse published in 2015 were identified and were evaluated according to the quality of the methods, the magnitude of clinical effect, and the number of patients potentially affected.
2017 Update on Medical Overuse: A Systematic Review
TLDR
2 methods for reducing overuse are highlighted: clinician audit and feedback with peer comparison for antibiotic use and a practical and sensible shared decision-making tool for low-risk chest pain (reduction in emergency department workup from 52% to 37%).
2016 Update on Medical Overuse: A Systematic Review.
TLDR
The number of articles on overuse of medical care nearly doubled from 2014 to 2015, and the top 10 articles selected were deemed most relevant based on their originality, methodologic quality, and number of patients potentially affected.
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TLDR
A structured review of English-language articles in PubMed published in 2014 and a review of tables of contents of relevant journals to identify potential articles that related to medical overuse in adults found many common medical practices should be reconsidered.
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It is suggested that additional interventions are necessary for wider implementation of Choosing Wisely recommendations, as changes were modest but showed a desirable decrease for 2 recommendations (imaging for headache, cardiac imaging for low-risk patients).
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TLDR
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TLDR
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TLDR
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