A comprehensive review of randomized clinical trials in three medical journals reveals 396 medical reversals

Diana Herrera-Perez, Alyson Haslam, Tyler Crain, Jennifer Gill, Catherine Livingston, Victoria Kaestner, Michael Hayes, Dan Morgan, Adam S. Cifu, Vinay Prasad

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

The ability to identify medical reversals and other low-value medical practices is an essential prerequisite for efforts to reduce spending on such practices. Through an analysis of more than 3000 randomized controlled trials (RCTs) published in three leading medical journals (the Journal of the American Medical Association, the Lancet, and the New England Journal of Medicine), we have identified 396 medical reversals. Most of the studies (92%) were conducted on populations in high- income countries, cardiovascular disease was the most common medical category (20%), and medication was the most common type of intervention (33%).

Original languageEnglish (US)
Article numbere45183
JournaleLife
Volume8
DOIs
StatePublished - Jun 2019

ASJC Scopus subject areas

  • General Neuroscience
  • General Biochemistry, Genetics and Molecular Biology
  • General Immunology and Microbiology

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