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Choosing Wisely Australia

The Royal College of Pathologists of Australasia

The quality of the evidence for the health benefits of an adequate vitamin D status is highly variable. As the main source of vitamin D is UVB sunlight exposure, vitamin D status as assessed by the measurement of 25 hydroxyvitamin D (25OH-D) is correlated with time spent outdoors, exercise and other aspects of a healthy lifestyle including body weight. Vitamin D insufficiency is associated with low levels of exercise, obesity and/or reduced sun light exposure, such as occur more commonly in the ...

Choosing Wisely Australia

The Royal College of Pathologists of Australasia

Prostate cancer causes significant mortality and morbidity and all patients with concerns about their risks of having the disease and/or their prognosis if diagnosed, including the role of prostate specific antigen (PSA) testing, should discuss these with their doctor. Since any mortality benefit from early diagnosis of prostate cancer due to PSA testing is not seen within less than 6–7 years from testing, PSA testing is not recommended for men who are unlikely to live another 7 years.

Choosing Wisely Australia

The Royal Australian College of General Practitioners

This ‘screening’ recommendation does not apply to people with symptoms suggestive of thyroid disease. The prevalence in adults of subclinical hypothyroidism is about 4.3% (0.7% for subclinical hyperthyroidism), and prevalence is higher in older adults and women. About 2-5 percent of people with subclinical hypothyroidism and 1-2 percent with subclinical hyperthyroidism will develop overt thyroid disease per year. However, many patients with subclinical thyroid dysfunction revert to normal ...

Choosing Wisely Australia

The Royal College of Pathologists of Australasia

Asymptomatic bacteriuria is a common finding in all ages and in association with other comorbidities. Treatment of asymptomatic bacteriuria is recommended in pregnancy but not in other clinical situations. Prophylaxis against development of symptoms prior to simple cystoscopy and prosthetic joint replacement is not recommended. Extensive guidelines from the Infectious Diseases Society of America (IDSA) are available for this condition and asymptomatic bacteriuria in catheterised patients. The ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Pediatría

Febrile seizure is the most common form of pediatric seizure and affects 2-5% of all children between 6 months and 5 years. Seizures are classified as simple (85% of cases) or complex. Simple febrile seizures are defined as generalized tonic-clonic seizures that last less than 15 minutes and do not recur within 24 hours. They occur in the context of fever> 38ºC and in children between 6 months and 5 years without underlying neurological pathology and without suspicion of intracranial infection ...