Too Much Surgery: Overcoming Barriers to Deimplementation of Low-value Surgery

Nicholas L Berlin^{1

2}, Ted A Skolarus^{3

4}, Eve A Kerr^{4

5

6}, Lesly A Dossett^{5

7}

Affiliations

¹ Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI.
² National Clinician Scholars Program, University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor, MI.
³ Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.
⁴ VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
⁵ Michigan Program for Value Enhancement, Ann Arbor, MI.
⁶ Department of Internal Medicine and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.
⁷ Department of Surgery, University of Michigan, Ann Arbor, MI.

Review

Nicholas L Berlin et al. Ann Surg. 2020 Jun.

. 2020 Jun;271(6):1020-1022.

doi: 10.1097/SLA.0000000000003792.

Nicholas L Berlin^{1

2}, Ted A Skolarus^{3

4}, Eve A Kerr^{4

5

6}, Lesly A Dossett^{5

7}

¹ Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI.
² National Clinician Scholars Program, University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor, MI.
³ Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.
⁴ VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
⁵ Michigan Program for Value Enhancement, Ann Arbor, MI.
⁶ Department of Internal Medicine and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.
⁷ Department of Surgery, University of Michigan, Ann Arbor, MI.

No abstract available

References

1. Shrank WH, Rogstad TL, Parekh N. Waste in the US Health Care System: Estimated Costs and Potential for Savings. Jama. 2019:13978. - PubMed
1. Rosenberg A, Agiro A, Gottlieb M, et al. Early Trends Among Seven Recommendations From the Choosing Wisely Campaign. JAMA Intern Med. 2015;175(12):1913–1920. - PubMed
1. Antunez AG, Telem DA, Dossett LA. Assessment of Surgical Specialty Societies’ Choosing Wisely Recommendations. JAMA Surg. 2019. - PMC - PubMed
1. Foundation A. Choosing Wisely: Promoting conversations betweenpatients and clinicians. 2013; https://www.choosingwisely.org, 2019.
1. Wong SM, Freedman RA, Sagara Y, Aydogan F, Barry WT, Golshan M. Growing Use of Contralateral Prophylactic Mastectomy Despite no Improvement in Long-term Survival for Invasive Breast Cancer. Ann Surg. 2017;265(3):581–589. - PubMed