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Choosing Wisely: Don’t perform vaginal cytology (Pap test) or HPV screening in women ...

Don’t perform vaginal cytology (Pap test) or HPV screening in women who had hysterectomy (with removal of the cervix) for reasons other than high-grade cervical dysplasia (cervical intraepithelial neoplasia [CIN] 2/3) or cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=319

Choosing Wisely: Don’t do workup for clotting disorder (order hyper-coagulable testing)...

Don’t do workup for clotting disorder (order hyper-coagulable testing) for patients who develop first episode of deep vein thrombosis (DVT) in the setting of a known cause.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=32

Choosing Wisely: Don’t perform cervical cytology (Pap test) or HPV screening in ...

Don’t perform cervical cytology (Pap test) or HPV screening in immunocompetent women under age 21.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=320

Choosing Wisely: Don’t perform annual cervical cytology (Pap test) or annual HPV ...

Don’t perform annual cervical cytology (Pap test) or annual HPV screening of immunocompetent women with a history of negative screening.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=322

Choosing Wisely: Don’t routinely order an electroencephalography on neurologically ...

Don’t routinely order an electroencephalography on neurologically healthy children who have a simple febrile seizure.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=323

Choosing Wisely: Don’t administer diazepam for muscle spasm following spine surgery in ...

Don’t administer diazepam for muscle spasm following spine surgery in the elderly.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=324

Choosing Wisely: Don’t order formal swallow evaluation in stroke patients unless they ...

Don’t order formal swallow evaluation in stroke patients unless they fail their initial swallow screen.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=325

Choosing Wisely: Don’t culture or treat clinically uninfected lower extremity wounds ...

Don’t culture or treat clinically uninfected lower extremity wounds with systemic antibiotics.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=326

Choosing Wisely: Avoid ordering MRI in patients with suspected acute Achilles tendon ...

Avoid ordering MRI in patients with suspected acute Achilles tendon ruptures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=327

Choosing Wisely: Don’t routinely use MRI to diagnose bone infection (osteomyelitis) in ...

Don’t routinely use MRI to diagnose bone infection (osteomyelitis) in the foot.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=328

Choosing Wisely: Don’t obtain spinal imaging for patients with acute low-back pain ...

Don’t obtain spinal imaging for patients with acute low-back pain during the six weeks after onset in the absence of red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=329

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 repeat imaging to monitor patients’ progress. - American...

Don’t perform repeat imaging to monitor patients’ progress.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=330

Choosing Wisely: Avoid protracted use of passive or palliative physical therapeutic ...

Avoid protracted use of passive or palliative physical therapeutic modalities for low-back pain disorders unless they support the goal(s) of an active treatment plan.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=331

Choosing Wisely: Don’t provide long-term pain management without a psychosocial ...

Don’t provide long-term pain management without a psychosocial screening or assessment.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=332

Choosing Wisely: Don’t prescribe lumbar supports or braces for the long-term treatment ...

Don’t prescribe lumbar supports or braces for the long-term treatment or prevention of low-back pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=333

Choosing Wisely: Don’t routinely use B vitamin supplements for the treatment of ...

Don’t routinely use B vitamin supplements for the treatment of polyneuropathy or neuropathic pain unless a deficiency exists.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=334

Choosing Wisely: Don’t choose opioids or narcotics as the first choice of treatment for...

Don’t choose opioids or narcotics as the first choice of treatment for neuropathic pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=335

Choosing Wisely: Don’t have genetic testing for nerve and muscle diseases prior to ...

Don’t have genetic testing for nerve and muscle diseases prior to having a discussion with your physician or a genetics professional.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=336

Choosing Wisely: Don’t initiate medications to treat symptoms, adverse events, or side ...

Don’t initiate medications to treat symptoms, adverse events, or side effects without determining if an existing therapy or lack of adherence is the cause, and whether a dosage reduction, discontinuation of a medication, or another medication is warranted.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=337

Choosing Wisely: Do not prescribe medications for patients on five or more medications,...

Do not prescribe medications for patients on five or more medications, or continue medications indefinitely, without a comprehensive review of their existing medications, including over-the-counter medications and dietary supplements, to determine whether any of the medications or ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=338

Choosing Wisely: Don’t continue medications based solely on the medication history ...

Don’t continue medications based solely on the medication history unless the history has been verified with the patient by a medication-use expert (e.g., a pharmacist) and the need for continued therapy has been established.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=339

Choosing Wisely: Antibiotics should not be used for apparent viral respiratory ...

Antibiotics should not be used for apparent viral respiratory illnesses (sinusitis, pharyngitis, bronchitis).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=34

Choosing Wisely: Don’t prescribe patients medications at discharge that they were on ...

Don’t prescribe patients medications at discharge that they were on prior to admission without verifying that these medications are still needed and that the discharge medications will not result in duplication, drug interactions, or adverse events.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=340

Choosing Wisely: Don’t prescribe or administer oral liquid medications using teaspoon ...

Don’t prescribe or administer oral liquid medications using teaspoon or tablespoon for measurement; use only mL when measuring with an approved dosing device (e.g., medication cup or oral syringe).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=341

Choosing Wisely: Don’t treat low-risk clinically localized prostate cancer (e.g., ...

Don’t treat low-risk clinically localized prostate cancer (e.g., Gleason score is less than 7, PSA less than 10.0 ng/mL, and tumor stage T2 or less) without discussing active surveillance as part of the shared decision-making process.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=342

Choosing Wisely: Don’t treat uncomplicated cystitis in women with fluoroquinolones if ...

Don’t treat uncomplicated cystitis in women with fluoroquinolones if other oral antibiotic treatment options exist.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=343

Choosing Wisely: Don’t continue opioid analgesia beyond the immediate postoperative ...

Don’t continue opioid analgesia beyond the immediate postoperative period; prescribe the lowest effective dose and number of doses required to address the expected pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=344

Choosing Wisely: Don’t obtain urine cytology or urine markers as a part of the routine ...

Don’t obtain urine cytology or urine markers as a part of the routine evaluation of the asymptomatic patient with microhematuria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=345

Choosing Wisely: Don’t routinely use CT to screen pediatric patients with suspected ...

Don’t routinely use CT to screen pediatric patients with suspected nephrolithiasis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=346

Choosing Wisely: Avoid opioid misuse in patients with chronic pelvic pain without ...

Avoid opioid misuse in patients with chronic pelvic pain without compromising care through education, responsible opioid prescribing, and advocacy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=347

Choosing Wisely: Don’t repeat hemoglobin electrophoresis (or equivalent) in patients ...

Don’t repeat hemoglobin electrophoresis (or equivalent) in patients who have a prior result and who do not require therapeutic intervention or monitoring of hemoglobin variant levels.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=348

Choosing Wisely: Don’t test for Protein C, protein S, or antithrombin (ATIII) levels ...

Don’t test for Protein C, protein S, or antithrombin (ATIII) levels during an active clotting event to diagnose a hereditary deficiency because these tests are not analytically accurate during an active clotting event.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=349

Choosing Wisely: Don’t use antimicrobials to treat bacteriuria in older adults unless ...

Don’t use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=35

Choosing Wisely: Don’t order red blood cell folate levels at all. In adults, consider ...

Don’t order red blood cell folate levels at all. In adults, consider folate supplementation instead of serum folate testing in patients with macrocytic anemia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=350

Choosing Wisely: Don’t use sputum cytology to evaluate patients with peripheral lung ...

Don’t use sputum cytology to evaluate patients with peripheral lung lesions.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=351

Choosing Wisely: Avoid ordering luteinizing hormone- and follicle-stimulating hormone ...

Avoid ordering luteinizing hormone- and follicle-stimulating hormone and either estradiol or testosterone for children with pubic hair and/or body odor but no other signs of puberty.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=352

Choosing Wisely: Avoid ordering screening tests looking for chronic illness or an ...

Avoid ordering screening tests looking for chronic illness or an endocrine cause, including complete blood count, cytidine monophosphate , insulinlike growth factor 1, thyroid tests, and celiac antibodies, in healthy children who are growing at or above the 3rd percentile for height ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=353

Choosing Wisely: Avoid ordering Vitamin D concentrations routinely in otherwise healthy...

Avoid ordering Vitamin D concentrations routinely in otherwise healthy children, including children who are overweight or obese.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=354

Choosing Wisely: Avoid routinely measuring thyroid function and/or insulin levels in ...

Avoid routinely measuring thyroid function and/or insulin levels in children with obesity.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=355

Choosing Wisely: Avoid routinely ordering thyroid ultrasounds in children who have ...

Avoid routinely ordering thyroid ultrasounds in children who have simple goiters or autoimmune thyroiditis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=356

Choosing Wisely: Don’t perform screening mammography in asymptomatic patients with ...

Don’t perform screening mammography in asymptomatic patients with normal exams who have less than five-year life expectancy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=357

Choosing Wisely: Don’t routinely drain non-painful fluid-filled breast cysts. - ...

Don’t routinely drain non-painful fluid-filled breast cysts.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=358

Choosing Wisely: Don’t order routine screening urinalysis in healthy, asymptomatic ...

Don’t order routine screening urinalysis in healthy, asymptomatic pediatric patients as part of routine well-child care.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=359

Choosing Wisely: Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) in individuals ...

Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) in individuals with hypertension or heart failure or chronic kidney disease of all causes, including diabetes.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=36

Choosing Wisely: Don’t initiate a workup for hematuria or proteinuria before repeating ...

Don’t initiate a workup for hematuria or proteinuria before repeating an abnormal urine dipstick analysis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=360

Choosing Wisely: Avoid ordering follow-up urine cultures after treatment for an ...

Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection in patients that show evidence of clinical resolution of infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=361

Choosing Wisely: Don’t initiate an outpatient hypertension workup in asymptomatic ...

Don’t initiate an outpatient hypertension workup in asymptomatic pediatric patients prior to repeating the blood pressure measurement.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=362

Choosing Wisely: Don’t place central lines or peripherally inserted PICCs in pediatric ...

Don’t place central lines or peripherally inserted PICCs in pediatric patients with advanced (Stage 3-5) chronic kidney disease/end-stage renal disease without consultation with pediatric nephrology due to goals to avoid adverse events, preserve long-term vascular access, and avoid ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=363

Choosing Wisely: Don’t proceed with elective surgery in patients with properly ...

Don’t proceed with elective surgery in patients with properly diagnosed and correctable anemia until the anemia has been appropriately treated.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=364

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