"The Lown Institute Hospitals Index is the first ranking to apply overuse criteria to over 3,100 U.S. hospitals to assess their success at avoiding tests and procedures that offer little to no clinical benefit to patients."
https://lownhospitalsindex.org/2021-winning-hospitals-avoiding-overuse/--------
The 12 'bad' procedures are as follows:
Arthroscopic knee surgery in patients with osteoarthritis or "runner's knee"
Carotid artery imaging for fainting in patients with syncope without history of syncope in 2 years
Carotid endarterectomy in female patients without stroke symptoms or history of stroke
Coronary artery stenting in patients with stable heart disease
EEG for fainting in patients where syncope is the primary diagnosis, and no history of syncope in 2 years
EEG for headache in patients with headache as the primary diagnosis and no history of headache in the past 2 years
Head imaging for fainting in patients where syncope is the primary diagnosis, and there is no history of syncope in the past 2 years and excluding patients with epilepsy, convulsions, trauma, altered mental status, nervous and musculoskeletal system symptoms, or history of stroke
Hysterectomy in patients without a diagnosis of cancer or carcinoma in situ
Inferior vena cava (IVC) filter in all patients except those with history of multiple pulmonary embolisms
Renal artery stenting in patients with high blood pressure or plaque buildup in the artery, excluding patients who had a diagnosis of fibromuscular dysplasia of the renal artery (abnormal twisting of the blood vessels)
Spinal fusion/laminectomy in patients with low-back pain, excluding patients with radicular symptoms, herniated disc, radicular pain, scoliosis; also excluding prior two occurrences within 30 days of radiculopathy, sciatica, or lumbago
Vertebroplasty in patients with spinal fractures caused by osteoporosis except those with bone cancer, myeloma, or hemangioma
