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Choosing Wisely UK

Royal College of Psychiatrists

Data from the Clinical Practice Research Datalink suggest that 35,000 women ages 14 to 45 per year received sodium valproate between 2010 and 2012, the majority for epilepsy. Of these, at least 375 per year had a prescription for sodium valproate during pregnancy. The Cochrane review published in November 2014 evaluated 22 prospective cohort studies and 6 registry studies. They conclude that children exposed to valproate in utero were at increased risk of lower neurodevelopmental scores ...

Choosing Wisely UK

Royal College of Psychiatrists (2018)

This guideline covers diagnosing and managing dementia (including Alzheimer’s disease). It aims to improve care by making recommendations on training staff and helping carers to support people living with dementia. People living with dementia can sometimes become distressed, aggressive or very agitated, and can have hallucinations or delusions. Antipsychotic medicines can help with this, but there are pros and cons to taking them. We’ve produced this patient decision aid to help healthcare ...

Choosing Wisely UK

Royal College of Ophthalmologists (2018)

Referral for cataract surgery is based on a decision to refer the person with cataract for surgery in a discussion with them (and their family members or carers as appropriate) that includes: - how the cataract affects the person's vision and quality of life -whether one or both eyes are affected -what cataract surgery involves, including possible risks and benefits -how the person's quality of life may be affected if he or she decides not to have cataract surgery -whether the person wishes to ...

Choosing Wisely UK

Royal College of Ophthalmologists (2018)

Esta guía cubre el tratamiento de las cataratas en adultos mayores de 18 años. Su objetivo es mejorar la atención antes, durante y después de la cirugía de cataratas, optimizando la organización de los servicios, la derivación y el tratamiento quirúrgico, y reduciendo las complicaciones. Además, pretende mejorar la disponibilidad de información para las personas con cataratas antes, durante y después de la cirugía de cataratas. Las cataratas suelen empeorar lentamente con el ...

Choosing Wisely UK

Royal College of Ophthalmologists (2018)

Glaucoma is a common eye disease in which the optic nerve, which connects the eye to the brain, is damaged. The cause is usually a buildup of fluid in the front part of the eye, which increases intraocular pressure. Glaucoma can lead to vision loss if not diagnosed and treated early. It can affect people of all ages, but is most common in adults in their 70s and 80s. Tests available in the community are: -Central visual field assessment by standard automated perimetry (full or ...