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Don’t routinely avoid vaccinations just due to concerns about vaccinations preceding relapses of multiple sclerosis*.
Prasad, et al. article A Decade of Reversal: An Analysis of 146 Contradicted Medical Practices
Autores de diferentes centros de investigación y universidades de Estados Unidos
For further information please visit the website of the initiative (link below)
ver más ... 2013Don’t do computed tomography (CT) for the evaluation of suspected appendicitis in children until after ultrasound has been considered as an option.
Choosing Wisely®
American College of Surgeons
For further information please visit the website of the initiative (link below)
ver más ... 2013The use of Negative Pressure Therapy is recommended for difficult-to-treat wounds in the context where a protocol and prospective evaluation of results are available.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
Although there is an extensive scientific literature on this subject , the quality of the evidence on clinical effectiveness is still limited (mainly due to weak study designs and the low quality of the studies), and hinders drawing conclusions. However, recent technical reports concluded that negative pressure therapy has a significant potential benefit, allowing to recommend their use in certain clinical conditions. Nevertheless, other indications (usually complex and uncommon clinical ...
ver más ... 2013It is recommended to do bypass surgery over angioplasty in selected patients*. But is necesary to balance the benefit of lower mortality with the increased risk of stroke observed with the bypass.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
*Patients older than 65 years or with diabetes and with multiple coronary artery disease. In patients with multiple coronary artery disease, both coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI, angioplasty) have shown similar risk of all-cause mortality over a period of 5 years of follow-up. However, CABG has shown lower mortality than PCI in patients over 65 years or patients with diabetes. But is necesary to balance the benefit of lower mortality with the ...
ver más ... 2013Systematic prescription of statins for primary prevention of cardiovascular disease in people with low or moderate coronary risk is not recommended.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
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ver más ... 2013