Best of the Best in Pediatric Overuse Literature

Sunday, April 27, 2025

2:00pm – 3:30pm HST

Location: Convention Center: Kalākaua Ballroom C (Level 4)

CE: 1.5

Selected By: AAP
Co-sponsored By: PIDS, PHM

Chair(s)

Ricardo Quinonez, MD, FAAP, FHM (he/him/his)

Associate Professor
Pediatric Hospital Medicine
Baylor College of Medicine
Houston, Texas, United States

In the complex landscape of modern healthcare, medical overuse has become a pressing issue with significant implications for patient outcomes, costs, and the effectiveness of interventions. Medical overuse involves unnecessary tests, treatments, or procedures that may cause more harm than benefit. Despite advancements in medical science, overuse remains a major barrier to providing optimal, patient-centered care and an understudied issue in pediatrics

This session features experts in medical overuse who have extensively published on the topic. Since 2016, these authors have produced a series of literature reviews in JAMA Pediatrics and Pediatrics, spotlighting 60 high-quality articles on medical overuse. This session aims to review the “best of the best” of these 60 articles as chosen by the authors using the same rigorous methodology as in their publications.

The session will begin with an introduction to the significance of medical overuse, followed by an examination of key articles from three time periods: 2015-2016, 2017-2019, and 2020-2023. The review will focus on the quality of methodologies, findings, and conclusions of these articles, as well as types of overuse such as overtreatment and overdiagnosis. A total of 10 articles will be discussed—3-4 from each period. The session will conclude with a summary of essential takeaways for pediatric providers and recommendations for potential practice changes based on the findings

Learning Objectives:

Define medical overuse and explore its importance in pediatrics
Discuss the best articles highlighting pediatric overuse over the past nine years
Synthesize take home points and needed practice changes regarding medical overuse in pediatrics

Presentations:

2:00pm – 2:20pm HST

Introduction and Best of the Best in Overuse Literature 2015-2016
Speaker: Danni Liang, MD (she/her/hers) – Cincinnati Children's Hospital Medical Center
2:20pm – 2:35pm HST

Best of the Best in Overuse Literature 2017-2019
Speaker: Elizabeth R. Wolf, MD, MPH – Virginia Commonwealth University School of Medicine
2:35pm – 3:05pm HST

Best of the Best in Overuse Literature 2020-2023
Speaker: Nathan Money, DO (he/him/his) – University of Utah
3:05pm – 3:30pm HST

Conclusions and Q&A Best of the Best in Overuse Literature
Speaker: Ricardo A. Quinonez, MD, FAAP, FHM (he/him/his) – Baylor College of Medicine