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Choosing Wisely UK

Royal College of Radiologists

It is not recommended or required to perform imaging when managing uncomplicated and not associated with "red flags" or radicolupathy back pain. Five clinical specialty societies recommend against the use of imaging for nonspecific low back pain. Clinical guidelines state that low back pain can be adequately managed without imaging and instead refer to physical examination, medical history, initial pain management, and physical therapy as the best first course of action. The results of imaging ...

Choosing Wisely UK

Royal College of Physicians

It is recommended to perform a neurophysiological assessment when managing patients with suspected carpal tunnel syndrome requiring surgery. This recommendation is based on a clinical practice guide only accessible to UK users, so no further information can be obtained.

Choosing Wisely UK

Royal College of Radiologists

It is not recommended to use imaging techniques in cases of minor head injuries, it is not likely to be useful. Only is recommended in cases of clinically important brain injuries by following the corresponding criteria (different in adults than children). Also in patients having anticoagulant treatment (both, adults and children).

Choosing Wisely UK

Royal College of Radiologists

It is not recommended, in cases of advanced cancer, the use of chemotherapy that is unlikely to be beneficial and may cause harm . The use should be minimized. No bibliographical references or sources of information referencing the recommendation are presented.

Choosing Wisely UK

Royal College of Physicians

It is not recommended to use structural MRI to diagnose Parkinson’s disease. If Parkinson's disease is suspected, refer people quickly and untreated to a specialist with expertise in the differential diagnosis of this condition. Structural MRI may be considered in the differential diagnosis of other parkinsonian syndromes. Suspect Parkinson's disease in people presenting with tremor, stiffness, slowness, balance problems and/or gait disorders.