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Ways to make the right decisions in internal medicine and some specialized fields


Authors: Pavel Havránek
Authors‘ workplace: Interní oddělení Nemocnice České Budějovice
Published in: Vnitř Lék 2021; 67(7): 390-393
Category: Main Topic

Overview

The article presents the Choosing wisely (CHW) approach to selected problems of internal medicine, as developed by professional societies in the USA, Great Britain, Canada, Australia and the Federal Republic of Germany. It deals in more detail with issues and procedures in specialized fields of nephrology and rheumatology. There are negative, but also some positive recommendations on how the CHW approach views them.

Keywords:

antidepressants – screening – Autoantibodies – Antipsychotics – Proteinuria – glucocorticoids – renal failure – Lyme disease – colchicine – low back pain – prostate specific antigen – densitometry – multivitamins – nootropics – bacteriuria


Sources

1. https://www.choosingwisely.org/getting‑started/ lists/

2. https://www.choosingwisely.org.au/recommendations

3. https://choosingwiselycanada.org/

4. https://www.aafp.org/family‑physician/ patient‑care/ clinical‑recommendations/ choosing‑wisely. html

5. https://www.klug‑entscheiden. com/fileadmin/user_upload/2021_Sammelband_Klug_ entscheiden_Web_final.

6. DataBrief: findings from a national survey of physicians. Available at: http://www.choosingwisely. org/wp‑content/ uploads/2017/09/2017- Research‑Report‑Topline‑Resutls. pdf. Accessed October 26, 2018.

7. Morden NE, Colla CH, Sequist TD, Rosenthal MB. Choosing wisely −the politics and economics of labeling low‑value services. N Engl J Med. 2014; 370(7): 589–592.

8. Admon AJ, Gupta A, Williams M et al. Appraising the evidence supporting Choosing Wisely recommendations. J Hosp Med. 2018; 13 (10): 688–691.

9. Sipilä, R., Mäkelä, M. & Komulainen, J. Highlighting the need for de‑implementation – Choosing Wisely recommendations based on clinical practice guidelines. BMC Health Serv Res 19, 638 (2019). https://doi.org/10.1186/s12913-019-4460-z

10. Gill SS, Mamdani M, Naglie G, Streiner DL, Bronskill SE, Kopp A et al. A prescribing cascade involving cholinesterase inhibitors and anticholinergic drugs. Arch Intern Med 2005;165:808-13. https://doi.org/10.1001/archinte.165. 7. 808

11. https://www.amboss.com/de/wissen/DGIM_-_Klug_entscheiden_in_der_Inneren_Medizin

12. Yazdany J, Schmajuk G, Robbins M, Daikh D, Beall A, Yelin E, Barton J, Carlson A, Margaretten M, Zell J, Gensler LS, Kelly V, Saag K, King C; American College of Rheumatology Core Membership Group. Choosing wisely: the American College of Rheumatology’s Top 5 list of things physicians and patients should question. Arthritis Care Res (Hoboken). 2013 Mar; 65(3): 329–39. doi: 10.1002/acr.21930. PMID: 23436818; PMCID: PMC4106486.

13. Choosing Wisely: The Canadian Rheumatology Association’s List of 5 Items Physicians and Patients Should Question

14. Shirley L. Chow, J. Carter Thorne, Mary J. Bell, Robert Ferrari, Zarnaz Bagheri, Tristan Boyd, Ann Marie Colwill, Michelle Jung, Damian Frackowiak, Glen S. Hazlewood, Bindee Kuriya and Peter Tugwell on behalf of the Canadian Rheumatology Association Choosing Wisely Committee The Journal of Rheumatology February 2015, jrheum.141140; DOI: https://doi.org/10.3899/ jrheum.141140

15. https://www.choosingwisely.org/societies/american‑society‑of‑nephrology/

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 7

2021 Issue 7

Most read in this issue
Topics Journals
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