Resultados de Búsqueda

NICE

NICE

Microwave ablation involves inserting a probe into the lung, through the skin of the chest, to send microwaves into the cancer cells. This produces heat, aiming to destroy the cancer (ablation). Evidence on the safety of microwave ablation for treating primary lung cancer and metastases in the lung is adequate but shows it can cause infrequent serious complications. Evidence on its efficacy shows it reduces tumour size. But the evidence on improvement in survival, long-term outcomes and quality ...

Choosing Wisely Canada

Pediatric Sport & Exercise Medicine

Most if not all buckle fractures heal without complications. Follow up radiographs are not indicated if symptoms have resolved, as this will expose the child to unnecessary radiation. The recommedation was sent to the Pediatric Interest Group of CASEM, as well as a pediatric orthopedic surgeon and a pediatric MSK radiologist at McMaster University, to seek feedback on each suggested recommendation and review existing Choosing Wisely Canada recommendations.

Choosing Wisely Canada

Pediatric Sport & Exercise Medicine

A number of clinical decision rules for use of CT for minor head injury in children, including PECARN, CATCH and CHALICE rules, have been developed in the last two decades and have shown that children with low risk for clinically important structural brain injury, as in the setting of concussion (no focal neurological deficits, no altered mental state, etc), do not require CT imaging. The Canadian Academy of Sport and Exercise Medicine (CASEM) Board approved the development of ...

Choosing Wisely Canada

Pediatric Sport & Exercise Medicine

Bone injury is more common in children and therefore should be ruled out when evaluating injuries in the pediatric patient. Conventional radiography is the main and usually the only imaging modality needed to evaluate the shoulder and knee. Ultrasonography should not be requested as part of the initial diagnostic evaluation; However, if patients do not respond to conservative treatment, additional imaging may be necessary. The recommedation was sent to the Pediatric Interest Group, as well as a ...

Choosing Wisely Canada

Pediatric Sport & Exercise Medicine

Due to their efficacy, low cost, and low radiation exposure, 2-view plain films are the best initial study. Oblique radiographs detect less than 30% of spondylolysis lesions and pose increased radiation exposure with little to no increased benefit. Advanced imaging (magnetic resonance imaging, bone scan + single photon emission computed tomography) may detect stress injury not seen on radiographs.