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Choosing Wisely: Don’t perform cystoscopy, urodynamics or diagnostic renal and bladder ...

Don’t perform cystoscopy, urodynamics or diagnostic renal and bladder ultrasound in the initial work-up of an uncomplicated overactive bladder patient.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=270

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 prescribe antimicrobials to patients using indwelling or ...

Don’t prescribe antimicrobials to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=272

Choosing Wisely: Don’t obtain computed tomography scan of the pelvis for asymptomatic ...

Don’t obtain computed tomography scan of the pelvis for asymptomatic men with low-risk clinically localized prostate cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=273

Choosing Wisely: Offer PSA screening for detecting prostate cancer only after engaging ...

Offer PSA screening for detecting prostate cancer only after engaging in shared decision making.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=274

Choosing Wisely: Don’t diagnose microhematuria solely on the results of a urine ...

Don’t diagnose microhematuria solely on the results of a urine dipstick (macroscopic urinalysis).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=275

Choosing Wisely: Don’t initiate antihypertensive treatment in individuals ≥ 60 years of...

Don’t initiate antihypertensive treatment in individuals ≥ 60 years of age for systolic blood pressure < 150 mm Hg or diastolic blood pressure < 90 mm Hg.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=267

Choosing Wisely: Avoid routine use of antireflux medications for treatment of ...

Avoid routine use of antireflux medications for treatment of symptomatic GERD or for treatment of apnea and desaturation in preterm infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=276

Choosing Wisely: Avoid routine continuation of antibiotic therapy beyond 48 hours for ...

Avoid routine continuation of antibiotic therapy beyond 48 hours for initially asymptomatic infants without evidence of bacterial infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=277

Choosing Wisely: Avoid routine use of pneumograms for pre-discharge assessment of ...

Avoid routine use of pneumograms for pre-discharge assessment of ongoing and/or prolonged apnea of prematurity.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=278

Choosing Wisely: Avoid routine daily chest radiographs without an indication for ...

Avoid routine daily chest radiographs without an indication for intubated infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=279

Choosing Wisely: Avoid routine screening term-equivalent or discharge brain MRIs in ...

Avoid routine screening term-equivalent or discharge brain MRIs in preterm infants.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=280

Choosing Wisely: Don’t order a duplicate genetic test for an inherited condition unless...

Don’t order a duplicate genetic test for an inherited condition unless there is uncertainty about the validity of the existing test result.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=281

Choosing Wisely: Don’t order apolipoprotein E genetic testing as a predictive test for ...

Don’t order apolipoprotein E genetic testing as a predictive test for Alzheimer disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=282

Choosing Wisely: Don’t order MTHFR genetic testing for the risk assessment of ...

Don’t order MTHFR genetic testing for the risk assessment of hereditary thrombophilia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=283

Choosing Wisely: Don’t order HFE genetic testing for a patient without iron overload or...

Don’t order HFE genetic testing for a patient without iron overload or a family history of HFE-associated hereditary hemochromatosis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=284

Choosing Wisely: Don’t use systemic (oral or injected) corticosteroids as a long-term ...

Don’t use systemic (oral or injected) corticosteroids as a long-term treatment for dermatitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=285

Choosing Wisely: Don’t use skin prick tests or blood tests such as the ...

Don’t use skin prick tests or blood tests such as the radioallergosorbent test for the routine evaluation of eczema.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=286

Choosing Wisely: Don’t routinely use antibiotics to treat bilateral swelling and ...

Don’t routinely use antibiotics to treat bilateral swelling and redness of the lower leg unless there is clear evidence of infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=287

Choosing Wisely: Don’t continue antibiotics beyond 72 hours in hospitalized patients ...

Don’t continue antibiotics beyond 72 hours in hospitalized patients unless patient has clear evidence of infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=289

Choosing Wisely: Don’t treat patients who have mild cervical dysplasia of less than two...

Don’t treat patients who have mild cervical dysplasia of less than two years’ duration.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=29

Choosing Wisely: Avoid invasive devices (including central venous catheters, ...

Avoid invasive devices (including central venous catheters, endotracheal tubes, and urinary catheters) and, if required, use no longer than necessary. They pose a major risk for infections.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=290

Choosing Wisely: Don’t perform urinalysis, urine culture, blood culture or C. difficile...

Don’t perform urinalysis, urine culture, blood culture or C. difficile testing unless patients have signs or symptoms of infection. Tests can be falsely positive leading to over diagnosis and overtreatment.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=291

Choosing Wisely: Don’t use antibiotics in patients with recent C. difficile without ...

Don’t use antibiotics in patients with recent C. difficile without convincing evidence of need. Antibiotics pose a high risk of C. difficile recurrence.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=292

Choosing Wisely: Don’t continue surgical prophylactic antibiotics after the patient has...

Don’t continue surgical prophylactic antibiotics after the patient has left the operating room.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=293

Choosing Wisely: Don’t perform routine cervical length screening for preterm birth risk...

Don’t perform routine cervical length screening for preterm birth risk assessment in asymptomatic women before 16 weeks of gestation or beyond 24 weeks of gestation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=294

Choosing Wisely: Don’t perform antenatal testing on women with the diagnosis of ...

Don’t perform antenatal testing on women with the diagnosis of gestational diabetes who are well controlled by diet alone and without other indications for testing.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=295

Choosing Wisely: Don’t place women, even those at high-risk, on activity restriction to...

Don’t place women, even those at high-risk, on activity restriction to prevent preterm birth.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=296

Choosing Wisely: Don’t perform maternal serologic studies for cytomegalovirus (CMV) and...

Don’t perform maternal serologic studies for cytomegalovirus (CMV) and toxoplasmosis as part of routine prenatal laboratory studies.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=297

Choosing Wisely: Avoid unnecessary CD4 tests. - American Family Physician

Avoid unnecessary CD4 tests.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=298

Choosing Wisely: Don’t order complex lymphocyte panels when ordering CD4 counts. - ...

Don’t order complex lymphocyte panels when ordering CD4 counts.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=299

Choosing Wisely: Don’t perform stress cardiac imaging or advanced noninvasive imaging ...

Don’t perform stress cardiac imaging or advanced noninvasive imaging in the initial evaluation of 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=3

Choosing Wisely: Don’t perform repetitive complete blood count and chemistry testing in...

Don’t perform repetitive complete blood count and chemistry testing in the face of clinical and lab stability.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=30

Choosing Wisely: Avoid quarterly viral load testing of patients who have durable viral ...

Avoid quarterly viral load testing of patients who have durable viral suppression, unless clinically indicated.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=300

Choosing Wisely: Don’t routinely test for CMV immunoglobulin G in HIV-infected patients...

Don’t routinely test for CMV immunoglobulin G in HIV-infected patients who have a high likelihood of being infected with CMV.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=301

Choosing Wisely: Don’t perform prenatal ultrasounds for non-medical purposes, for ...

Don’t perform prenatal ultrasounds for non-medical purposes, for example, solely to create keepsake videos or photographs.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=303

Choosing Wisely: Don’t routinely order testing for glucose-6-phosphate dehydrogenase ...

Don’t routinely order testing for glucose-6-phosphate dehydrogenase deficiency for patients who are not predisposed due to race/ethnicity.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=302

Choosing Wisely: Don’t routinely transfuse stable, asymptomatic hospitalized patients ...

Don’t routinely transfuse stable, asymptomatic hospitalized patients with a hemoglobin level greater than 7–8 grams.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=304

Choosing Wisely: Don’t perform pelvic ultrasound in average risk women to screen for ...

Don’t perform pelvic ultrasound in average risk women to screen for ovarian cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=305

Choosing Wisely: Don’t routinely recommend activity restriction or bed rest during ...

Don’t routinely recommend activity restriction or bed rest during pregnancy for any indication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=306

Choosing Wisely: Don’t promote induction or augmentation of labor and don’t induce or ...

Don’t promote induction or augmentation of labor and don’t induce or augment labor without a medical indication; spontaneous labor is safest for woman and infant, with benefits that improve safety and promote short- and long-term maternal and infant health.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=307

Choosing Wisely: Don’t prescribe opioid pain medication in pregnancy without fully ...

Don’t prescribe opioid pain medication in pregnancy without fully weighing the risks to the woman and her fetus, and discussing these risks with the patient.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=308

Choosing Wisely: Don’t separate mothers and their newborns at birth unless medically ...

Don’t separate mothers and their newborns at birth unless medically necessary. Instead, help the mother to place her newborn in skin-to-skin contact immediately after birth and encourage her to keep her newborn in her room during hospitalization after the birth.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=309

Choosing Wisely: Avoid transfusions of red blood cells for arbitrary hemoglobin or ...

Avoid transfusions of red blood cells for arbitrary hemoglobin or hematocrit thresholds and in the absence of symptoms or active coronary disease, heart failure, or stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=31

Choosing Wisely: Don’t administer prn (i.e., as needed) sedative, antipsychotic, or ...

Don’t administer prn (i.e., as needed) sedative, antipsychotic, or hypnotic medications to prevent and/or treat delirium without first assessing for, removing, and treating the underlying causes of delirium and using nonpharmacologic delirium prevention and treatment approaches.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=310

Choosing Wisely: Don’t assume a diagnosis of dementia in an older adult who presents ...

Don’t assume a diagnosis of dementia in an older adult who presents with an altered mental status and/or symptoms of confusion without assessing for delirium or delirium superimposed on dementia using a brief, sensitive, validated assessment tool.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=311

Choosing Wisely: Avoid routinely using irreversible surgical procedures such as braces,...

Avoid routinely using irreversible surgical procedures such as braces, occlusal equilibration, and restorations as the first treatment of choice in the management of temporomandibular joint disorders.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=313

Choosing Wisely: Don’t routinely use breast MRI for breast cancer screening in average ...

Don’t routinely use breast MRI for breast cancer screening in average risk women.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=314

Choosing Wisely: Don’t obtain routine blood work (e.g., complete blood count, liver ...

Don’t obtain routine blood work (e.g., complete blood count, liver function tests) other than a carcinoembryonic antigen level during surveillance for colorectal cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=315

Choosing Wisely: Don’t routinely order expanded lipid panels (particle sizing, nuclear ...

Don’t routinely order expanded lipid panels (particle sizing, nuclear magnetic resonance) as screening tests for cardiovascular disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=316

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