Low-value Care

The Evidence Behind Robot-Assisted Abdominopelvic Surgery

Abstract: Use of robot-assisted surgery has increased dramatically since its advent in the 1980s, and nearly all surgical subspecialties have adopted it. However, whether it has advantages compared with laparoscopy or open surgery is unknown.

Publication: Annals of Internal Medicine

Date Published: June 29, 2021

Author(s): Naila H. Dhanani, MD; Oscar A. Olavarria, MD, MS; Karla Bernardi, MD, MS; Nicole B. Lyons, MD; Julie L. Holihan, MD, MS; Michele Loor, MD; Alex B. Haynes, MD, MPH and Mike K. Liang, MD

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.