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It is a potential low value intervention to perform lumbar imaging in patients with lower back pain without more serious underlying conditions
Elshaug, et al. article: Over 150 potentially low-value health care practices: an Australian study.
Comprehensive Management Framework (CMF) for the Australia's Medicare Benefits Schedule (MBS)
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ver más ... 2012It is not recommended offer imaging to patients with acute low back pain, their use increases costs and may increase adverse effects.
Less Is More Collection - JAMA Network
Srinivas et al. Arch Intern Med. 2012;172(13):1016-1020
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ver más ... 2012Don’t do imaging for low back pain within the first six weeks, unless red flags are present.
Choosing Wisely®
American Academy of Family Physicians
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ver más ... 2012Open surgery is recommended in the elective treatment of abdominal aortic aneurysm except for some specific clinical situations.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
Hospital de Sant Pau
The review of current evidence showed that open surgery is the most appropriate surgical procedure for elective treatment of abdominal aortic aneurysm (AAA). This intervention is more cost-effective, while endovascular repair would only be indicated for elder patients, patients with increased risk of intraoperative mortality (associated morbidity or hostile abdomen) and, in addition, patients with a favourable anatomy so that the anchoring and sealing of the stent be correct and ...
ver más ... 2012C-Reactive Protein adds only a marginally value to the predictive value of established risk factors in the prediction of Coronary Heart Disease
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
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ver más ... 2012