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Choosing Wisely: More Good Clinical Recommendations - American Family Physician

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

Choosing Wisely: Don’t routinely use topical antibiotics on a surgical wound. - ...

Don’t routinely use topical antibiotics on a surgical wound.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=150

Choosing Wisely: Don’t perform low-risk human papillomavirus (HPV) testing. - American ...

Don’t perform low-risk human papillomavirus (HPV) testing.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=28

Choosing Wisely: Don’t use whirlpools for wound management. - American Family Physician

Don’t use whirlpools for wound management.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=212

Choosing Wisely: Don’t use antibiotic therapy for stasis dermatitis of lower ...

Don’t use antibiotic therapy for stasis dermatitis of lower extremities.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=255

Choosing Wisely: Don’t routinely order imaging for all patients with double vision. - ...

Don’t routinely order imaging for all patients with double vision.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=126

Choosing Wisely: Don’t routinely avoid influenza vaccination in egg-allergic patients. ...

Don’t routinely avoid influenza vaccination in egg-allergic patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=201

Choosing Wisely: Don’t treat asymptomatic bacteruria with antibiotics. - American ...

Don’t treat asymptomatic bacteruria with antibiotics.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=253

Choosing Wisely: Don’t use opioids or butalbital for migraine except as a last resort. ...

Don’t use opioids or butalbital for migraine except as a last resort.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=44

Choosing Wisely: Avoid treatment of CIN 1 in women under age 25. - American Family ...

Avoid treatment of CIN 1 in women under age 25.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=321

Choosing Wisely: Don’t perform routine general health checks for asymptomatic adults. -...

Don’t perform routine general health checks for asymptomatic adults.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=106

Choosing Wisely: Avoid performing plain x-rays in instances of facial trauma. - ...

Avoid performing plain x-rays in instances of facial trauma.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=205

Choosing Wisely: Avoid prescribing antibiotics for upper respiratory infections. - ...

Avoid prescribing antibiotics for upper respiratory infections.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=254

Choosing Wisely: Don’t reimage deep vein thrombosis in the absence of a clinical ...

Don’t reimage deep vein thrombosis in the absence of a clinical change.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=33

Choosing Wisely: Don’t perform population-based screening for 25-OH-vitamin D ...

Don’t perform population-based screening for 25-OH-vitamin D deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=67

Choosing Wisely: Don’t recommend vision therapy for patients with dyslexia. - American ...

Don’t recommend vision therapy for patients with dyslexia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=125

Choosing Wisely: Don’t place an indwelling urinary catheter to manage urinary ...

Don’t place an indwelling urinary catheter to manage urinary incontinence.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=263

Choosing Wisely: Don’t exclude pessaries as a treatment option for pelvic organ ...

Don’t exclude pessaries as a treatment option for pelvic organ prolapse.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=271

Choosing Wisely: Don’t order antibiotics for adenoviral conjunctivitis. - American ...

Don’t order antibiotics for adenoviral conjunctivitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=47

Choosing Wisely: Don’t routinely do diagnostic testing in patients with chronic ...

Don’t routinely do diagnostic testing in patients with chronic urticaria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=1

Choosing Wisely: Avoid transesophageal echocardiography to detect cardiac sources of ...

Avoid transesophageal echocardiography to detect cardiac sources of embolization if a source has been identified and patient management will not change.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=10

Choosing Wisely: Avoid colorectal cancer screening tests on asymptomatic patients with ...

Avoid colorectal cancer screening tests on asymptomatic patients with a life expectancy of less than 10 years and no family or personal history of colorectal neoplasia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=100

Choosing Wisely: Avoid admission or preoperative chest x-rays for ambulatory patients ...

Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=101

Choosing Wisely: Don’t do CT for the evaluation of suspected appendicitis in children ...

Don’t do CT for the evaluation of suspected appendicitis in children until after ultrasound has been considered as an option.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=102

Choosing Wisely: Don’t use glucosamine and chondroitin to treat patients with ...

Don’t use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=103

Choosing Wisely: Don’t use lateral wedge insoles to treat patients with symptomatic ...

Don’t use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=104

Choosing Wisely: Don’t recommend daily home finger glucose testing in patients with ...

Don’t recommend daily home finger glucose testing in patients with type 2 diabetes mellitus not using insulin.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=105

Choosing Wisely: Don’t perform routine preoperative testing before low-risk surgical ...

Don’t perform routine preoperative testing before low-risk surgical procedures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=107

Choosing Wisely: Don’t recommend cancer screening in adults with life expectancy of ...

Don’t recommend cancer screening in adults with life expectancy of less than 10 years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=108

Choosing Wisely: Don't place, or leave in place, peripherally inserted central ...

Don't place, or leave in place, peripherally inserted central catheters for patient or provider convenience.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=109

Choosing Wisely: Don’t order continuous telemetry monitoring outside of the intensive ...

Don’t order continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=11

Choosing Wisely: Don’t prescribe antipsychotic medications to patients for any ...

Don’t prescribe antipsychotic medications to patients for any indication without appropriate initial evaluation and appropriate ongoing monitoring.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=110

Choosing Wisely: Don’t routinely prescribe two or more antipsychotic medications ...

Don’t routinely prescribe two or more antipsychotic medications concurrently.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=111

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=112

Choosing Wisely: Don’t routinely prescribe antipsychotic medications as a first-line ...

Don’t routinely prescribe antipsychotic medications as a first-line intervention for insomnia in adults.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=113

Choosing Wisely: Don’t routinely prescribe antipsychotic medications as a first-line ...

Don’t routinely prescribe antipsychotic medications as a first-line intervention for children and adolescents for any diagnosis other than psychotic disorders.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=114

Choosing Wisely: Don’t initiate management of low-risk prostate cancer without ...

Don’t initiate management of low-risk prostate cancer without discussing active surveillance.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=115

Choosing Wisely: Don’t prescribe antibiotics for otitis media in children aged two to ...

Don’t prescribe antibiotics for otitis media in children aged two to 12 years with nonsevere symptoms where the observation option is reasonable.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=116

Choosing Wisely: Don’t perform voiding cystourethrogram routinely in first febrile ...

Don’t perform voiding cystourethrogram routinely in first febrile urinary tract infection (UTI) in children aged two to 24 months.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=117

Choosing Wisely: Don’t routinely screen for prostate cancer using a prostate-specific ...

Don’t routinely screen for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=118

Choosing Wisely: Don’t perform routine annual stress testing after coronary artery ...

Don’t perform routine annual stress testing after coronary artery revascularization.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=12

Choosing Wisely: Don’t require a pelvic exam or other physical exam to prescribe oral ...

Don’t require a pelvic exam or other physical exam to prescribe oral contraceptive medications.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=120

Choosing Wisely: Don’t use homeopathic medications, non-vitamin dietary supplements or ...

Don’t use homeopathic medications, non-vitamin dietary supplements or herbal supplements as treatments for disease or preventive health measures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=121

Choosing Wisely: Don’t recommend chelation except for documented metal intoxication, ...

Don’t recommend chelation except for documented metal intoxication, which has been diagnosed using validated tests in appropriate biological samples.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=122

Choosing Wisely: Don’t put asymptomatic children in weak reading glasses. - American ...

Don’t put asymptomatic children in weak reading glasses.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=123

Choosing Wisely: Annual comprehensive eye exams are unnecessary for children who pass ...

Annual comprehensive eye exams are unnecessary for children who pass routine vision screening assessments.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=124

Choosing Wisely: Don’t use electromyography (EMG) and nerve conduction studies (NCS) to...

Don’t use electromyography (EMG) and nerve conduction studies (NCS) to determine the cause of axial lumbar, thoracic or cervical spine pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=128

Choosing Wisely: Don’t recommend bed rest for low back pain. Patients should remain as ...

Don’t recommend bed rest for low back pain. Patients should remain as active as possible and be encouraged to find positions of comfort and engage in activities that don’t worsen symptoms during an acute episode.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=129

Choosing Wisely: Don’t obtain baseline laboratory studies in patients without ...

Don’t obtain baseline laboratory studies in patients without significant systemic disease (ASA I or II) undergoing low-risk surgery–specifically complete blood count, basic or comprehensive metabolic panel, coagulation studies when blood loss (or fluid shifts) is/are expected to be ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=130

Choosing Wisely: Don’t recommend imaging of the spine within the first six weeks of an ...

Don’t recommend imaging of the spine within the first six weeks of an acute episode of low back pain in the absence of red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=127

Choosing Wisely: Don’t obtain baseline diagnostic cardiac testing ...

Don’t obtain baseline diagnostic cardiac testing (transthoracic/esophageal echocardiography) or cardiac stress testing in asymptomatic stable patients with known cardiac disease (e.g., coronary artery disease, valvular disease) undergoing low or moderate risk noncardiac surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=131

Choosing Wisely: Don’t administer packed red blood cells in a young healthy patient ...

Don’t administer packed red blood cells in a young healthy patient without ongoing blood loss and hemoglobin of ≥ 6 g/dL unless symptomatic or hemodynamically unstable.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=132

Choosing Wisely: Don’t routinely administer colloid (dextrans, hydroxylethyl starches, ...

Don’t routinely administer colloid (dextrans, hydroxylethyl starches, albumin) for volume resuscitation without appropriate indications.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=133

Choosing Wisely: Avoid CT scans of the head in emergency department patients with minor...

Avoid CT scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=134

Choosing Wisely: Avoid placing indwelling urinary catheters in the emergency department...

Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=135

Choosing Wisely: Don’t delay engaging available palliative and hospice care services in...

Don’t delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=136

Choosing Wisely: Avoid antibiotics and wound cultures in emergency department patients ...

Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful incision and drainage and with adequate medical follow-up.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=137

Choosing Wisely: Avoid instituting intravenous (IV) fluids before doing a trial of oral...

Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate dehydration in children.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=138

Choosing Wisely: Don’t leave an implantable cardioverter-defibrillator activated when ...

Don’t leave an implantable cardioverter-defibrillator activated when it is inconsistent with the patient/family goals of care.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=13

Choosing Wisely: Avoid routine multiple daily self-glucose monitoring in adults with ...

Avoid routine multiple daily self-glucose monitoring in adults with stable type 2 diabetes on agents that do not cause hypoglycemia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=139

Choosing Wisely: Don’t routinely order a thyroid ultrasound in patients with abnormal ...

Don’t routinely order a thyroid ultrasound in patients with abnormal thyroid function tests if there is no palpable abnormality of the thyroid gland.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=141

Choosing Wisely: Don’t do CT for evaluation of suspected appendicitis in children until...

Don’t do CT for evaluation of suspected appendicitis in children until after ultrasound has been considered as an option.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=14

Choosing Wisely: Don’t routinely measure 1,25-dihydroxyvitamin D unless the patient has...

Don’t routinely measure 1,25-dihydroxyvitamin D unless the patient has hypercalcemia or decreased kidney function.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=140

Choosing Wisely: Don’t order a total or free triiodothyronine (T3) level when assessing...

Don’t order a total or free triiodothyronine (T3) level when assessing levothyroxine (T4) dose in hypothyroid patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=142

Choosing Wisely: Don’t prescribe testosterone therapy unless there is biochemical ...

Don’t prescribe testosterone therapy unless there is biochemical evidence of testosterone deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=143

Choosing Wisely: Don’t screen low-risk women with cancer antigen (CA) 125 or ultrasound...

Don’t screen low-risk women with cancer antigen (CA) 125 or ultrasound for ovarian cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=144

Choosing Wisely: Don’t perform Pap tests for surveillance of women with a history of ...

Don’t perform Pap tests for surveillance of women with a history of endometrial cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=145

Choosing Wisely: Don’t perform colposcopy in patients treated for cervical cancer with ...

Don’t perform colposcopy in patients treated for cervical cancer with Pap tests of low-grade squamous intraepithelial lesion or less.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=146

Choosing Wisely: Don’t perform prostate-specific antigen (PSA) testing for prostate ...

Don’t perform prostate-specific antigen (PSA) testing for prostate cancer screening in men with no symptoms of the disease when they are expected to live less than 10 years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=147

Choosing Wisely: Don’t prescribe oral antifungal therapy for suspected nail fungus ...

Don’t prescribe oral antifungal therapy for suspected nail fungus without confirmation of fungal infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=148

Choosing Wisely: Don’t use oral antibiotics for treatment of atopic dermatitis unless ...

Don’t use oral antibiotics for treatment of atopic dermatitis unless there is clinical evidence of infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=149

Choosing Wisely: Don’t use coronary CT angiography in high-risk emergency department ...

Don’t use coronary CT angiography in high-risk emergency department patients presenting with acute chest pain. note: Risk defined by the Thrombolysis In Myocardial Infarction risk score for unstable angina/acute coronary syndromes.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=15

Choosing Wisely: Don’t order autoantibody panels unless positive antinuclear antibodies...

Don’t order autoantibody panels unless positive antinuclear antibodies (ANA) and evidence of rheumatic disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=151

Choosing Wisely: Don’t test for Lyme disease as a cause of musculoskeletal symptoms ...

Don’t test for Lyme disease as a cause of musculoskeletal symptoms without an exposure history and appropriate exam findings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=152

Choosing Wisely: Don’t perform CT surveillance for evaluation of indeterminate ...

Don’t perform CT surveillance for evaluation of indeterminate pulmonary nodules at more frequent intervals or for a longer period of time than recommended by established guidelines.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=153

Choosing Wisely: For patients recently discharged on supplemental home oxygen following...

For patients recently discharged on supplemental home oxygen following hospitalization for an acute illness, don’t renew the prescription without assessing the patient for ongoing hypoxemia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=154

Choosing Wisely: Don’t perform chest CT (CT angiography) to evaluate for possible ...

Don’t perform chest CT (CT angiography) to evaluate for possible pulmonary embolism in patients with a low clinical probability and negative results of a highly sensitive D-dimer assay.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=155

Choosing Wisely: Don’t perform CT screening for lung cancer among patients at low risk ...

Don’t perform CT screening for lung cancer among patients at low risk for lung cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=156

Choosing Wisely: Don’t perform neuroimaging studies in patients with stable headaches ...

Don’t perform neuroimaging studies in patients with stable headaches that meet criteria for migraine.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=157

Choosing Wisely: Don’t perform CT imaging for headache when MRI is available, except in...

Don’t perform CT imaging for headache when MRI is available, except in emergency settings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=158

Choosing Wisely: Don’t recommend surgical deactivation of migraine trigger points ...

Don’t recommend surgical deactivation of migraine trigger points outside of a clinical trial.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=159

Choosing Wisely: Don’t medicate to achieve tight glycemic control in older adults. ...

Don’t medicate to achieve tight glycemic control in older adults. Moderate control is generally better.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=16

Choosing Wisely: Don’t prescribe opioid or butalbital-containing medications as ...

Don’t prescribe opioid or butalbital-containing medications as first-line treatment for recurrent headache disorders.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=160

Choosing Wisely: Don’t recommend prolonged or frequent use of over-the-counter (OTC) ...

Don’t recommend prolonged or frequent use of over-the-counter (OTC) pain medications for headache.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=161

Choosing Wisely: Don’t routinely order thrombophilia testing on patients undergoing a ...

Don’t routinely order thrombophilia testing on patients undergoing a routine infertility evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=162

Choosing Wisely: Don’t perform immunological testing as part of the routine infertility...

Don’t perform immunological testing as part of the routine infertility evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=163

Choosing Wisely: Don’t perform stress cardiac imaging or coronary angiography in ...

Don’t perform stress cardiac imaging or coronary angiography in patients without cardiac symptoms unless high-risk markers are present.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=164

Choosing Wisely: Don’t perform cardiac imaging for patients who are at low risk. - ...

Don’t perform cardiac imaging for patients who are at low risk.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=165

Choosing Wisely: Don’t perform cardiac imaging as a preoperative assessment in patients...

Don’t perform cardiac imaging as a preoperative assessment in patients scheduled to undergo low- or intermediate-risk noncardiac surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=166

Choosing Wisely: Use methods to reduce radiation exposure in cardiac imaging, whenever ...

Use methods to reduce radiation exposure in cardiac imaging, whenever possible, including not performing such tests when limited benefits are likely.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=167

Choosing Wisely: Don’t transfuse more than the minimum number of red blood cell (RBC) ...

Don’t transfuse more than the minimum number of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable, noncardiac inpatients).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=168

Choosing Wisely: Don’t use nuclear medicine thyroid scans to evaluate thyroid nodules ...

Don’t use nuclear medicine thyroid scans to evaluate thyroid nodules in patients with normal thyroid gland function.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=17

Choosing Wisely: Don’t test for thrombophilia in adult patients with venous ...

Don’t test for thrombophilia in adult patients with venous thromboembolism (VTE) occurring in the setting of major transient risk factors (surgery, trauma, or prolonged immobility).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=169

Choosing Wisely: Don’t administer plasma or prothrombin complex concentrates for ...

Don’t administer plasma or prothrombin complex concentrates for nonemergent reversal of vitamin K antagonists (i.e., outside of the setting of major bleeding, intracranial hemorrhage, or anticipated emergent surgery).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=170

Choosing Wisely: Don’t perform stress cardiovascular magnetic resonance (CMR) in the ...

Don’t perform stress cardiovascular magnetic resonance (CMR) in the initial evaluation of chest pain patients with low pretest probability of coronary artery disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=171

Choosing Wisely: Don’t perform stress cardiovascular magnetic resonance (CMR) in ...

Don’t perform stress cardiovascular magnetic resonance (CMR) in patients with acute chest pain and high probability of coronary artery disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=173

Choosing Wisely: Don’t perform stress cardiovascular magnetic resonance (CMR) as a ...

Don’t perform stress cardiovascular magnetic resonance (CMR) as a preoperative assessment in patients scheduled to undergo low-risk, noncardiac surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=172

Choosing Wisely: Don’t perform coronary cardiovascular magnetic resonance (CMR) in the ...

Don’t perform coronary cardiovascular magnetic resonance (CMR) in the initial evaluation of asymptomatic patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=174

Choosing Wisely: Don’t order diagnostic tests at regular intervals (such as every day),...

Don’t order diagnostic tests at regular intervals (such as every day), but rather in response to specific clinical questions.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=175

Choosing Wisely: Don’t continue life support for patients at high risk for death or ...

Don’t continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families the alternative of care focused entirely on comfort.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=177

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