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Hello all,

FY possible I, based on discussion below:

Elshaug AG, McWilliams JM, Landon BE. The value of low-value lists. JAMA. 2013 Feb 27;309(8):775-6.
http://jama.jamanetwork.com/article.aspx?articleid=1656265 (*see eTable for 4 lists)

Feedback gratefully received.
Regards,
Adam

Adam Elshaug, MPH, PhD
Associate Professor of Health Care Policy
HCF Research Foundation Principal Research Fellow
Menzies Centre for Health Policy | Sydney School of Public Health

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---------- Forwarded message ----------
From: Dreaves, Hilary <[log in to unmask]<mailto:[log in to unmask]>>
Date: Tue, Nov 19, 2013 at 2:12 AM
Subject: Re: lists of disproven medical practices
To: [log in to unmask]<mailto:[log in to unmask]>

Hi,
A small thought from a "lurker" in the group....

It goes without saying that disinvestment decisions are also evidenced by cost savings/efficiencies/effectiveness, or whatever euphemism is used, as well as evidence of a purely clinical nature. Not sure how clear the distinctions might be in the literature.......... As a non-clinician, I'm thinking about de-commissioning decisions and the copious discussion streams in other e-groups on matters such as "only one cataract op paid for on NHS (no need for two), because you can then see well enough" - even though there might be impacts around accidents, fires, falls, etc as a result ........

Hilary Dreaves
Research Fellow (HIA)
IMPACT
International Health Impact Assessment Consortium
Department of Public Health and Policy
Institute of Psychology, Health and Society
University of Liverpool
Liverpool
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2009 winner Research Councils UK Knowledge Transfer Award for Public Policy and Service Impact.


From: Evidence based health (EBH) [mailto:[log in to unmask]<mailto:[log in to unmask]>] On Behalf Of Greg Fell
Sent: 19 November 2013 08:59
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: lists of disproven medical practices

Nancy
There are thousands of said lists
Some published some not
Some of better q and evidential basis than others
Some exist on account of disproven / ineffective
Some on the basis of low value (or lower than other competing technologies)
Don't think there is a single place where they are all collated
I have loads squirreled away. I'll email them to you. Can't post on this group as it wld upset the megabyte police

Greg


Greg Fell
07582 103112

From: Carol Lefebvre [mailto:[log in to unmask]]
Sent: Tuesday, November 19, 2013 08:51 AM
To: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: lists of disproven medical practices

Dear Nancy

Within health technology assessment (HTA) circles this tends to be referred to as 'disinvestment' so you may find a search on that term might throw up some relevant information.

With best wishes

Carol

Carol Lefebvre

Independent Information Consultant, Lefebvre Associates Ltd, Oxford, UK

Co-Convenor, Cochrane Information Retrieval Methods Group

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From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Adams, Nancy
Sent: 19 November 2013 01:35
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: lists of disproven medical practices

Dear EBH Folks,

I'm looking for lists of disproven or contested medical practices that I could use as the basis of scenarios for searching point-of-care information resources. One I found is, "A decade of reversal: an analysis of 146 discontinued medical practices" http://www.ncbi.nlm.nih.gov/pubmed/23871230  and another is the "Choosing Wisely" lists by the ABIM Foundation (http://www.choosingwisely.org). Does anyone know of any other such lists?

Sincerely,
Nancy E. Adams, M.L.I.S.

Associate Director/Coordinator of Education & Instruction

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