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"Choosing Wisely" Campaign Promotes Smarter Medical Testing


  05:13:08 pm, by MedBen5   , 212 words,  
Categories: News, Wellness, Health Plan Management

"Choosing Wisely" Campaign Promotes Smarter Medical Testing

In an effort to reduce wasteful spending without harming patients, nine medical societies have compiled a list of tests and treatments their members should no longer automatically order. MSNBC reports that the groups, which include the American Academy of Family Physicians, the American Society of Clinical Oncology and the American College of Cardiology, represent nearly 375,000 physicians.

Each of the specialty societies created a list of “Five Things Physicians and Patients Should Question". The 45 tests and procedures considered to be overused include:

  • Repeat colonoscopies within 10 years of a first test
  • Early imaging for most back pain
  • Brain scans for patients who fainted but didn’t have seizures
  • Antibiotics for mild- to-moderate sinusitis unless symptoms last for seven or more days or worsen
  • Stress cardiac imaging or advanced non-invasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present
  • PAP smears on women younger than 21 or who have had a hysterectomy for a non-cancer disease
  • Advanced imaging or bone scans in patients with early-stage breast or low-grade prostate cancer
  • Bone scan screening for osteoporosis in women younger than 65 or men younger than 70 with no risk factors
  • Routine cancer screening on dialysis patients with limited life expectancies
    Chemotherapy for sickest cancer patients

Complete lists are available at the “Choosing Wisely” website.

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