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Less Is More Collection - JAMA Network

Alan Ge, MA.JAMA Intern Med. 2020;180(4):586-589.

In this survey study data were obtained via telephone call and from the best hospitals for cardiology and heart surgery in the US. It was requested information regarding the availability of executive screening programs offered to individuals, specific tests offered, and costs. The top-rated US News & World Report cardiology programs commonly provide cardiovascular tests as part of executive screening programs that are not recommended by current guidelines for indiscriminate use among ...

Less Is More Collection - JAMA Network

Jin Qin, ScD. JAMA Intern Med. 2020;180(2):274-280.

This cross-sectional analysis of the National Survey of Family has been carried out to estimate prevalence of potentially unnecessary BPE and Papanicolaou (Pap) tests performed among adolescent girls and women younger than 21 years. This analysis found that more than half of BPEs and almost three-quarters of Pap tests performed among young women aged 15 to 20 years during the years 2011 through 2017 were potentially unnecessary, exposing women to preventable harms. The results suggest that ...

Evidencias COVID-19

Evidence Aid

In this rapid review the authors searched for systematic reviews, national guidelines and randomized trials of radiation therapy for prostate cancer . They suggest resources can be reduced for all stages of prostate cancer during the pandemic. At the time of this review, the authors suggest that brachytherapy should be avoided during the peak of the pandemic, unless it can be performed with local anesthesia.

Evidencias COVID-19

Evidence Aid

In this rapid review the authors suggest that resources can be reduced for all stages of prostate cancer during the pandemic. Eearly salvage radiation therapy is preferable to adjuvant radiation therapy during the pandemic and when radiation therapy is necessary, the shortest fractionation schedule supported by evidence of efficacy and safety should be implemented.

Evidencias COVID-19

Evidence Aid

In this Cochrane rapid review,They included 71 studies in confirmed cases of COVID‐19 (6331 participants) and 13 studies in people with suspected COVID‐19 (1948 participants). These studies evaluated chest CT-scans (78 studies), chest X‐ray and chest ultrasound. The authors judged risk of bias to be high in most studies.They reported that Chest CT-scans are not capable of making a distinction between people with and without COVID-19. The accuracies of chest X‐ray and ultrasound of the ...