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Compromiso por la calidad de las Sociedades Científicas en España

Asociación Española de Urología

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Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

NICE summary of Cochrane review conclusions Evidence shows that continuous passive motion following total knee arthroplasty in people with arthritis is not effective and should not be used. Reducing or stopping continuous passive motion following total knee arthroplasty in people with arthritis will reduce the use of ineffective treatments and may be of value in terms of productivity savings although this is difficult to quantify. The Implications for practice section of the Cochrane review ...

Choosing Wisely Australia

The Royal Australian College of General Practitioners

This recommendation does not apply to people with a bowel symptom such as bleeding. Approximately 98% of Australians are at ‘average’ or ‘slightly above average’ risk (e.g. one relative with bowel cancer diagnosed at ≥ 55yo). RACGP guidelines recommend two-yearly faecal occult blood testing (FOBT) from 50-75 years of age. The best available data to 2011 suggests 13% of this group were instead over-screened using colonoscopy. National Bowel Cancer Screening Program (NBCSP) data shows ...

Choosing Wisely Australia

The Royal Australian College of General Practitioners

Avoid the routine use of antibiotics in acute otitis media, except in a child with acute systemic features such as high fever, vomiting or lethargy. Clinical review at 24-48 hours is good practice, if available. Regardless of whether one or both eardrums are red or bulging, antibiotics do not reduce pain at 24 hours, and up to 20 children must be treated to prevent pain in one child at 2 to 7 days. Routine antibiotic use slightly reduces tympanic membrane perforation (NNT = 33) but has no ...

Choosing Wisely Australia

The Royal Australian College of General Practitioners

During a routine cervical smear for screening (i.e. no symptoms), a bimanual pelvic examination has no proven benefit, as it has not been shown to improve the detection of ovarian cancer or to benefit other outcomes. In a large study of Australian women undergoing routine screening pelvic examination, no ovarian malignancies were found, and the high prevalence of benign abnormalities (bulky/fibroid uterus in 13%, abnormal adnexal findings in 2%) often led to further investigation. A recent US ...