Bad interventions: hard to spot and harder to de-adopt

Sometimes costly or invasive medical interventions become entrenched in clinical practice for years before they are found to be low value, ineffective or harmful.
But identifying which devices, proceÂdures and practices have been contradicÂted by later evidence — known as medical reversal — is not always straightforward.
A group of researchers has set out to make this task easier by compiling a list of medical reversals for the benefit of doctors.
In the Oregon Health and Science University-led study, researchers looked at more than 3000 randomised controlled trials published in three top-tier Âmedical journals — the Journal of the American Medical Association, the Lancet and the New England Journal of Medicine — across a 14-year period.