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Health, financial and environmental impacts of unnecessary vitamin D testing: a triple bottom line assessment adapted for healthcare
Conclusions Unnecessary vitamin D testing contributes to avoidable CO2e emissions and healthcare costs. While the footprint of this example is relatively small, the potential to realise environmental cobenefits by reducing low-value care more broadly is significant.
Source: BMJ Open - August 23, 2022 Category: General Medicine Authors: Breth-Petersen, M., Bell, K., Pickles, K., McGain, F., McAlister, S., Barratt, A. Tags: Open access, Health services research Source Type: research

Cost analysis and cost-effectiveness of open versus laparoscopic versus robot-assisted versus transanal total mesorectal excision in patients with rectal cancer: a protocol for a systematic review
Introduction Nowadays, most rectal tumours are treated open or minimally invasive, using laparoscopic, robot-assisted or transanal total mesorectal excision. However, insight into the total costs of these techniques is limited. Since all three techniques are currently being performed, including cost considerations in the choice of treatment technique may significantly impact future healthcare costs. Therefore, this systematic review aims to provide an overview of evidence regarding costs in patients with rectal cancer following open, laparoscopic, robot-assisted and transanal total mesorectal excision. Methods and analysi...
Source: BMJ Open - August 18, 2022 Category: General Medicine Authors: Geitenbeek, R. T. J., Burghgraef, T. A., Broekman, M., Schop, B. P. A., Lieverse, T. G. F., Hompes, R., Havenga, K., Postma, M., Consten, E. C. J. Tags: Open access, Surgery Source Type: research

Head-to-head comparison of 14 prediction models for postoperative delirium in elderly non-ICU patients: an external validation study
Conclusion Our head-to-head analysis identified 2 out of 14 CPMs as best-performing models with a fair discrimination and acceptable calibration. Based on our findings, these models might assist physicians in postoperative delirium risk estimation and patient selection for preventive measures.
Source: BMJ Open - April 8, 2022 Category: General Medicine Authors: Wong, C. K., van Munster, B. C., Hatseras, A., Huis in 't Veld, E., van Leeuwen, B. L., de Rooij, S. E., Pleijhuis, R. G. Tags: Open access, Geriatric medicine Source Type: research

Healthcare costs of asthma comorbidities: a systematic review protocol
Introduction Asthma is associated with many comorbid conditions that have the potential to impact on its management, control and outcomes. These comorbid conditions have the potential to impact on healthcare expenditure. We plan to undertake a systematic review to synthesise the evidence on the healthcare costs associated with asthma comorbidity. Methods and analysis We will systematically search the following electronic databases between January 2000 and January 2017: National Health Service (NHS) Economic Evaluation Database, Google Scholar, Allied and Complementary Medicine Database (AMED), Global Health, PsychINFO, Me...
Source: BMJ Open - May 30, 2017 Category: General Medicine Authors: Ferkh, K. E., Nwaru, B. I., Griffiths, C., Patel, A., Sheikh, A. Tags: Open access, Respiratory medicine Protocol Source Type: research

Determination of risk factors for drug-related problems: a multidisciplinary triangulation process
Conclusions The gathered risk factors may help to characterise and identify patients at risk for DRPs and may enable clinical pharmacists to guide and target preventive measures in order to limit the occurrence of DRPs. As a further step, these risk factors will serve as the basis for a screening tool to identify patients at risk for DRPs.
Source: BMJ Open - March 20, 2015 Category: Journals (General) Authors: Kaufmann, C. P., Stampfli, D., Hersberger, K. E., Lampert, M. L. Tags: Open access, Patient-centred medicine, Pharmacology and therapeutics Research Source Type: research