It's the worst: performing procedures or delivering chemotherapy to people in their last months of life. We hate doing this, because it's neither kind nor wise.
Scrutiny of low-value care at the end of life went mainstream when Atul Gawande, MD, writing in the New Yorker,[1] made popular the finding that 25% of Medicare expenditures goes to beneficiaries in their last year of life. [2]
COMMENTARY
Yes, There Is Low-Value Care in the Very Ill, Despite MIT Study
John M. Mandrola, MD; Vinay Prasad, MD, MPH
DisclosuresJuly 13, 2018
It's the worst: performing procedures or delivering chemotherapy to people in their last months of life. We hate doing this, because it's neither kind nor wise.
Scrutiny of low-value care at the end of life went mainstream when Atul Gawande, MD, writing in the New Yorker,[1] made popular the finding that 25% of Medicare expenditures goes to beneficiaries in their last year of life. [2]
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Cite this: Yes, There Is Low-Value Care in the Very Ill, Despite MIT Study - Medscape - Jul 13, 2018.
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Authors and Disclosures
Authors and Disclosures
Authors
John M. Mandrola, MD
Clinical Electrophysiologist, Baptist Medical Associates, Louisville, Kentucky; Chief Cardiology Correspondent, Medscape
Disclosure: John M. Mandrola, MD, has disclosed the following relevant financial relationships:
Serve(d) as a speaker of a member of a speakers bureau for: Medtronic, Inc.
Vinay Prasad, MD, MPH
Assistant Professor of Medicine, Department of Hematology and Oncology, Oregon Health and Science University; Attending Physician, Academic Medical Centre, Portland, Oregon
Disclosure: Vinay Prasad, MD, MPH, has disclosed the following relevant financial relationships:
Received royalties from: Ending Medical Reversal (Johns Hopkins University Press, 2015)
Receive honoraria from: Occasional speaking for nonprofit groups