TY - JOUR PY - 2023// TI - Potential avoidable costs of low-value clinical practices in acute injury care in an integrated Canadian provincial trauma system JO - JAMA surgery A1 - Conombo, Blanchard A1 - Guertin, Jason R. A1 - Hoch, Jeffrey S. A1 - Lauzier, François A1 - Turgeon, Alexis F. A1 - Stelfox, Henry T. A1 - Moore, Lynne SP - ePub EP - ePub VL - ePub IS - ePub N2 - In 2013, an estimated $270 billion was wasted on excess health care services in the US.1 Given the need to make rapid decisions between multiple diagnostic and therapeutic options, trauma care is a high-risk setting for low-value practices (LVPs), defined as tests or treatments not supported by evidence or that expose patients to unnecessary harm.2 A consensus-based list of 16 LVPs for trauma care was recently published.3 Studies have estimated spending associated with such services among individuals with fee-for-service Medicare at about US $50 000 per 1000 admissions.4,5 However, there is a knowledge gap on this burden for trauma admissions. We estimated direct health care costs associated with LVPs in acute trauma care from a Canadian provincial health system.

Language: en

LA - en SN - 2168-6254 UR - http://dx.doi.org/10.1001/jamasurg.2023.2510 ID - ref1 ER -