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Choosing Wisely ® : Things we do for no reason

CHOOSING WISELY ®: THINGS WE DO FOR NO REASON

Community-acquired pneumonia (CAP) is one of the leading causes of hospitalization and mortality from infections in adults. However, in more than 50% of cases, no causative pathogen is identified. Urinary antigen tests (UATs) for Streptococcus pneumoniae and Legionella pneumophila have been used to facilitate rapid diagnosis of these pathogens, with the expectation of improving antibiotic treatment and reducing hospitalization duration. UATs have potential advantages, such as rapid turnaround ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Evidence on the efficacy of long-term opioid treatment for chronic non-cancer pain is very limited. However, the risks are well known. It is important to reassess every three months whether opioid treatment is effective, or whether the person experiences adverse events or shows a pattern of possible misuse. In addition to the adverse events associated with opioids, regardless of treatment duration, there are others associated with long-term use. Some of these may include tolerance, ...

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ® THINGS WE DO FOR NO REASON

Diverticulitis is a leading cause of hospitalization in the United States, with more than 400,000 emergency department visits and 200,000 hospital admissions annually, generating an estimated cost of $3.2 billion. Traditionally, it has been considered an infectious disease, leading to the routine use of antibiotics to prevent complications and reduce recurrence. However, recent studies have shown that most cases of uncomplicated acute diverticulitis can be managed without antibiotics without an ...

Choosing Wisely ® : Things we do for no reason

CHOOSING WISELY®: THINGS WE DO FOR NO REASON™

Alcohol use disorder (AUD) is a common cause of hospitalization, but access to pharmacological treatment remains very limited. Despite its effectiveness, less than 1% of patients with AUD in the United States receive evidence-based medication. Naltrexone, acamprosate, and disulfiram are the three FDA-approved drugs for AUD, but naltrexone is widely preferred due to its more convenient dosing and efficacy without the need for prior abstinence. However, concerns about its safety in patients with ...

Choosing Wisely ® : Things we do for no reason

CHOOSING WISELY®: THINGS WE DO FOR NO REASON™

Medical documentation has maintained a relatively constant structure since the 19th century, with specific linguistic patterns passed down within the medical profession. However, research in the medical humanities has identified that some terms used in medical records can contribute to the stigmatization of patients. These include verbs such as "denies," "insists," or "rejects," which can imply skepticism about the veracity of the information provided by the patient, in contrast to more ...