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There were substantial shifts in treatment patterns for ductal carcinoma in situ from 1991 to 2010

Treatment Patterns for DCIS Shift From 1991 to 2010

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Highest proportion of patients opts for lumpectomy and radiation therapy
Significant decreases in low-value services were seen in accordance with two of seven early "Choosing Wisely" recommendations

Some Changes Seen in Line With ‘Choosing Wisely’ Initiative

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Declines in two of seven recommendations: imaging for headache, cardiac imaging for low-risk patients
Women in certain racial/ethnic groups are more likely to be diagnosed with more advanced breast cancer

Advanced-Stage Breast CA More Likely in Certain Racial Groups

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African-American, white Hispanic women more likely to receive non-guideline-concordant treatment
More nurses and electronic medical records can help hospitals overcome the "weekend effect" associated with urgent general surgery procedures performed on weekends

Hospital Factors Can Overcome ‘Weekend Effect’

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Improved staffing; electronic records; additional inpatient, aftercare resources help
When compared to 12 other industrialized nations

Americans Spend More on Health Care, but Fare Worse

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Comparison with 12 industrialized nations shows more money spent, but life expectancy is lowest
Two decision instruments have high sensitivity for identifying blunt trauma patients with clinically significant thoracic injuries

Two Decision Instruments ID Major Injuries in Blunt Trauma

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Decision instruments have high sensitivity for identifying clinically significant thoracic injuries
Patients treated in the emergency department for a fall may be there due to an underlying infection

IDSA: Infections May Be the Underlying Cause of Many Falls

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Illness can lower blood pressure, lead to dizziness, researchers say
Most patients undergoing surgery for lung or colorectal cancer believe that the surgery is likely to be curative

Most Cancer Patients Believe Surgery Will Be Curative

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Findings even among patients with stage IV lung, colorectal cancer
Even with recent strides in breast cancer treatment

Early Detection Still Key to Breast Cancer Survival

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Despite advances in treatment, finding smaller tumors linked to better results
Ultrasonography has very high sensitivity and low false-positive rates in identifying fetal teratoma prenatally

Ultrasound Diagnosis of Fetal Teratoma Very Accurate

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Very high sensitivity, low false-positives, but prognosis depends on location, size