"Millions of Americans are increasingly realizing that when it comes to health care, more is not necessarily better," said Dr. Christine Cassel, Â president of the ABIM Foundation."Through these lists of tests and procedures, we hope to encourage conversations between physicians and patients about what care they truly need."
Delivery prior to 39 weeks is associated with increased risk of learning disabilities, respiratory problems and other potential risks.
Approximately 50 percent of children who visit hospital emergency departments with head injuries are given a CT scan.
4. Avoid Stress Tests Using Echocardiographic Images
The recommendation states that there is very little information on the benefit of using stress echocardiography in asymptomatic individuals for the purposes of cardiovascular risk assessment, as a stand-alone test or in addition to conventional risk factors.
The recommendation states that there is no evidence that using medicine to tightly control blood sugar in older diabetics is beneficial. In fact, using medications to strictly achieve low blood sugar levels is associated with harms, including higher mortality rates.
Recurrent headache is the most common pain problem, affecting up to 20 percent of people. The recommendation states that EEG has no advantage over clinical evaluation in diagnosing headache, does not improve outcomes, and increases costs.
Lipid Profile test checks various parameters of blood, such as cholesterol (good or high density lipoprotein as well as bad or low density lipoprotein) and triglyceride levels.
Mammograms and breast screening have had no impact on breast cancer deaths and have actually been found to increase breast cancer mortality.
A PSA blood test looks for prostate-specific antigen, a protein produced by the prostate gland.
11. Avoid Routine Colorectal Cancer Screening
Colorectal cancer screening often results in unnecessary removal of benign polyps which are of no threat to patients and the risks of their treatment or removal far exceed any benefit.
12. Avoid DEXA
Dual energy X-ray absorptiometry (DEXA or DXA) in a technique developed in the 1980s that measures, among many things, bone mineral density.
"fund medical specialty societies and regional health improvement collaborative to work in specific communities to raise awareness of potential overuse of medical care."
"Reducing the overuse of health care resources is a critical part of improving quality of health care in America," said Dr. Risa Lavizzo-Mourey, the Robert Wood Johnson Foundation’s president and chief executive officer."We want to see what can happen when this work is targeted in specific geographic regions and are pleased to help increase the tangible impact of the Choosing Wisely campaign."
- choosingwisely.org - Lists