Importance Delivering low-value care can lead to unnecessary follow-up services and
associated costs, and such care cascades have not been well examined in common clinical …

The incidence of most cancers increase with age. Cancer is the second most common cause
of death in older adults after cardiovascular disease. Many common cancers in older adults …

Importance Within the Veterans Health Administration (VA), the use and cost of low-value
services delivered by VA facilities or increasingly by VA Community Care (VACC) programs …

Importance Most clinical practice guidelines recommend stopping cancer screenings when
risks exceed benefits, yet low-value screenings persist. The Veterans Health Administration …

Importance Older US veterans commonly receive health care outside of the US Veterans
Health Administration (VHA) through Medicare, which may increase receipt of low-value …

Importance Conservative management (ie, active surveillance or watchful waiting) is a
guideline-based strategy for men with low-risk and intermediate-risk prostate cancer …

Background While guidelines recommend against routine screening for breast, prostate, and
colorectal cancers in older adults (65+ years) with< 10-year life expectancy, many of these …

Importance Low-value care is associated with harm among patients and with wasteful health
care spending but has not been well characterized in the Veterans Health Administration …

Importance Racial and ethnic disparities exist in anticoagulation therapy for atrial fibrillation
(AF). Whether medical center racial and ethnic composition is associated with these …

Background Low-value care cascades, defined as the receipt of downstream health services
potentially related to a low-value service, can result in harm to patients and wasteful …