Electrocardiograms in low-risk patients undergoing an annual health examination
Importance Clinical guidelines advise against routine electrocardiograms (ECG) in low-risk,
asymptomatic patients, but the frequency and impact of such ECGs are unknown. Objective …
asymptomatic patients, but the frequency and impact of such ECGs are unknown. Objective …
Pressurized metered-dose inhalers and their impact on climate change
L Fidler, S Green, K Wintemute - CMAJ, 2022 - Can Med Assoc
Hydrofluorocarbon propellants in pMDIs are responsible for roughly 0.03% of yearly global
greenhouse gas emissions. 1 Prescriptions for pMDIs represent about 3% of total health …
greenhouse gas emissions. 1 Prescriptions for pMDIs represent about 3% of total health …
Pharmacist-led sedative-hypnotic deprescribing in team-based primary care practice
E Lui, K Wintemute, M Muraca… - … Journal/Revue des …, 2021 - journals.sagepub.com
Background: Sedative-hypnotic (SH) medications are often used to treat chronic insomnia,
with potentially serious long-term side effects. The objective of this study is to evaluate an …
with potentially serious long-term side effects. The objective of this study is to evaluate an …
Frequency of and variation in low-value care in primary care: a retrospective cohort study
Background: Low-value care, defined as care with a lack of benefit, can lead to higher health
care costs, inconvenience to patients and, in some cases, harm to patients. The objectives of …
care costs, inconvenience to patients and, in some cases, harm to patients. The objectives of …
Over‐use of thyroid testing in Canadian and UK primary care in frequent attenders: A cross‐sectional study
Background Thyroid‐stimulating hormone (TSH) is a common test used to detect and
monitor clinically significant hypo‐and hyperthyroidism. Population‐based screening of …
monitor clinically significant hypo‐and hyperthyroidism. Population‐based screening of …
Choosing Wisely: An idea worth sustaining
M Kastner, J Makarski, K Mossman… - Health Services …, 2022 - Wiley Online Library
Objectives To evaluate the sustainability potential of Choosing Wisely (CW) to address
unnecessary medical care at Ontario community hospitals. Data Sources/Study Setting …
unnecessary medical care at Ontario community hospitals. Data Sources/Study Setting …
Choosing Wisely Canada campaign associated with less overuse of thyroid testing: Retrospective parallel cohort study
Objective To assess the effectiveness of a Choosing Wisely Canada (CWC) initiative to
improve thyroid-stimulating hormone (TSH) test ordering for patients with no identified …
improve thyroid-stimulating hormone (TSH) test ordering for patients with no identified …
[HTML][HTML] Implementation of targeted screening for poverty in a large primary care team in Toronto, Canada: a feasibility study
K Wintemute, M Noor, A Bhatt, G Bloch, S Arackal… - BMC Family …, 2021 - Springer
Background Poverty has a significant influence on health. Efforts to optimize income and
reduce poverty could make a difference to the lives of patients and their families. Routine …
reduce poverty could make a difference to the lives of patients and their families. Routine …
[HTML][HTML] Implementation of data management and effect on chronic disease coding in a primary care organisation: a parallel cohort observational study
M Greiver, K Wintemute, B Aliarzadeh… - BMJ Health & Care …, 2016 - informatics.bmj.com
Background Consistent and standardized coding for chronic conditions is associated with
better care; however, coding may currently be limited in electronic medical records (EMRs) …
better care; however, coding may currently be limited in electronic medical records (EMRs) …
Improving Health Equity by Screening for Poverty: A Survey of Family Physician Screening Behaviors and Perceptions in Toronto, Canada
Purpose: Given the importance of socioeconomic status in both directly and indirectly
influencing one's health,“poverty screening” by family physicians (FPs) may be one viable …
influencing one's health,“poverty screening” by family physicians (FPs) may be one viable …