Posted by Phillipa on June 28, 2012, at 21:24:17
In reply to Re: Agreed, posted by Phillipa on June 28, 2012, at 20:18:20
5 Misused and Overused Practices
From: Medscape Family Medicine
Expert Interviews
5 Misused Practices: AAFP Guidance
An Interview With Glen Stream, MD, MBI
Questionable Practices From ACP
An Interview With Steven Weinberger, MD
Are You Choosing Tests Wisely? A Challenge From the ABIM Foundation
Expert Interview With Christine K. Cassel, MD
Slideshow
Breaking 10 Old Habits: From ACP and AAFP
The 5 AAFP Recommendations Plus Resources
1. Don't obtain screening exercise ECG testing in individuals who are asymptomatic and at low risk for coronary heart disease.
ACP Issues Guidelines for Diagnostic Imaging for Low Back Pain
No Benefit to Routine Imaging for Low Back Pain Without "Red Flags"
Early Imaging of Low Back Pain Unnecessary, Harmful
2. Don't routinely prescribe antibiotics for acute mild to moderate sinusitis unless symptoms last for 7 or more days, or if symptoms worsen after initial clinical improvement.
New Rhinosinusitis Guidelines Discourage Antibiotics
Diagnosing and Treating Rhinosinusitis: New Guidelines
Antibiotics Not Necessary or Helpful for Acute Sinusitis
3. Don't use dual-energy x-ray absorptiometry (DEXA) screening for osteoporosis in women younger than 65 or in men younger than 70 with no risk factors.
USPSTF Issues Osteoporosis Screening Update
Women May Get Unneeded Osteoporosis Screening
Dual-energy X-ray Absorptiometry in Clinical Practice
4. Don't order annual ECGs or any other cardiac screening for low-risk patients without symptoms.
2010 ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults: Executive Summary
Screening for Cardiovascular Risk in Asymptomatic Patients
ECG Screening Finds High Risk People, But Benefits Not Clear
No Benefit of CCTA Screening in Asymptomatics
5. Don't perform Pap smears on women younger than 21 or who have had a hysterectomy for non-cancer disease.
Cervical Cancer Screening: A Guideline Synthesis From AHRQ
Updated Guidelines Released for Cervical Cancer Screening
Updated Guidelines for Cervical Cancer Screening: Less Is More
poster:Phillipa
thread:1020322
URL: http://www.dr-bob.org/babble/20120608/msgs/1020388.html