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In cases of normal childbirth, episiotomy should not be done routinely.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
The episiotomy, a perineal incision to facilitate the delivery of the baby during labour, is a common clinical practice, although there is little scientific evidence of its benefits and therefore remains a controversial clinical practice. In Catalonia, 28% of non-instrumental normal deliveries attended in 2011 were performed with episiotomy. It is estimated that this percentage can be much higher, since there is a significant degree of under-reporting of this procedure in many ...
ver más ... 2013Prescribing proton-pump inhibitors to prevent peptic ulcer disease in polymedicated patients or over 65 years of age who do not receive treatment with NSAIDs does not have any added value.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
The prevention of gastric ulcer disease with proton-pump inhibitors (PPIs) in patients treated with nonsteroidal antiinflammatory drugs (NSAIDs) are indicated for patients who meet any of the following conditions: a history of peptic ulcer, gastrointestinal bleeding or perforation gastroduodenal, elderly (> 65 years), prolonged treatment with high-dose NSAIDs, concomitant use of oral anticoagulants and/or corticosteroids and/or aspirin or other antiplatelet agents, or severe comorbidities ...
ver más ... 2013In postmenopausal women with low risk of fractures, long-term treatment with bisphosphonates represents a risk that overcomes the benefit.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
By 2012 11% of Catalan women over 55 years of age were treated with oral bisphosphonates. Of these, 38% received long-term treatment (five or more years).
The available scientific evidence suggests an increased risk of atypical femoral fractures (subtrochanteric or diaphyseal) in postmenopausal women with preventive treatment with bisphosphonates after three to five years of starting treatment. Atypical fractures were observed mostly in postmenopausal women who received alendronate ...
Don’t leave an implantable cardioverter-defibrillator (ICD) activated when it is inconsistent with the patient/family goals of care.
Choosing Wisely®
American Academy of Hospice and Palliative Medicine
For further information please visit the website of the initiative (link below)
ver más ... 2013Social distancing, general population antiviral prophylaxis plus closure of schools, and antiviral prophylaxis for household contacts plus closure of schools are cost effective for influenza pandemics
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Public health interventions and preparedness strategies are necessary to limit the effect of pandemics such as COVID-19. It is important to know the economic impact of these interventions and the evidence from influenza pandemics might be informative. In this systematic review, the authors searched for research evaluating the cost-effectiveness of interventions to control or prevent the 2009 H1N1 human influenza pandemic or other potential human influenza pandemics. They restricted the search ...
ver más ... 2012