Value-based care: the preference of outcome over prediction

Anderson et al report that "structural evaluation of brain magnetic resonance imaging (MRI) at term equivalent is predictive of outcome at 7 years of age, independent of clinical and social factors."1 The same volume of The Journal featured a commentary from Fisher,2 which acknowledged the need for prospective studies that demonstrate effective interventions for at-risk infants and questioned the Choosing Wisely campaign's recommendation to "avoid routine screening term equivalent or discharge brain MRIs in preterm infants."3

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