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It is not recommended to use statins in inappropriate patients
Choosing Wisely UK
Royal College of Pathologists (2018)
Statins are today the most effective drugs when it comes to reducing cholesterol. They work by preventing the production of LDL cholesterol in the liver, reducing mortality. The NICE clinical practice guideline recommends the use of statins only in appropriate patients.
ver más ... 2018It is recommended that patients and doctors shared decision making to decide when to initiate treatment and what treatment to use for wet active age related macular degeneration.
Choosing Wisely UK
Royal College of Ophthalmologists
This guideline covers the diagnosis and management of age-related macular degeneration in adults. It aims to improve the speed with which people are diagnosed and treated to prevent vision loss. Age-related macular degeneration is the term given to age-related changes, with no other obvious cause, that occur in the central area of the retina (macula), sometimes with the formation of new blood vessels. It is aimed at primary and secondary care health professionals, social care professionals, ...
ver más ... 2018It is recommended the outpatient management of nausea and vomiting in pregnancy for patients in whom primary care measures have been unsuccessful.
Choosing Wisely UK
Royal College of Obstetricians and Gynaecologists (2018)
Nausea and vomiting in pregnancy is defined as the symptom of nausea and/or vomiting during early pregnancy when there are no other causes, and hyperemesis gravidarum is the severe form of nausea and vomiting in pregnancy. There are variations in the management of women suffering from nausea and vomiting in pregnancy or hyperemesis gravidarum, with an occasional lack of understanding of its severity and options for treatment and support. The guideline offers advice to multidisciplinary ...
ver más ... 2018It is recommended that referral for cataract surgery should be based on a shared decision-making process about how it may affect quality of life in adults.
Choosing Wisely UK
Royal College of Ophthalmologists
This guideline covers managing cataracts in adults aged 18 and over. It aims to improve care before, during and after cataract surgery by optimising service organisation, referral and surgical management, and reducing complications. It further aims to improve the availability of information for people with cataracts before, during and after cataract surgery. This guideline includes recommendations on: patient information, referral for cataract surgery, preoperative assessment and biometry, ...
ver más ... 2018It is not recommended to transfuse red cells for iron deficiency anaemia without haemodynamic instability
Choosing Wisely UK
Royal College of Pathologists (2018)
Iron deficiency anemia is a type of anemia that develops when there is not enough iron in the body. It is the most common type of anemia. Blood transfusions rapidly increase the amount of red blood cells and iron in the blood. They can be used to treat severe iron deficiency anemia. This recommendation was based on the NICE clinical practice guidelines.
ver más ... 2018