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NICE

NICE

NICE no longer plans to develop guidance on Freelite assays for diagnosing multiple myeloma and related conditions in primary care. This is because data on the use of the assays in primary care has not been received. The assays are already recommended for use in NICE's guideline on myeloma: diagnosis and management.

NICE

NICE

A stroke occurs when the blood supply to a part of the brain is severely compromised. Most strokes (85%) are caused by a blockage in an artery that supplies blood to the brain. A transient ischemic attack has the same clinical presentation as a stroke except that symptoms resolve within 24 hours. It is recommended that people over 16 years of age presenting with neurological symptoms suggestive of stroke undergo rapid recognition of symptoms and diagnosis. In addition, imaging tests should be ...

NICE

NICE

Lipoedema is characterised by an abnormal, usually symmetrical, accumulation of fat in the legs, hips, buttocks, and occasionally arms. It is considerably more prevalent in women. It can have a profoundly negative effect on quality of life, and physical and mental health. Lipoedema is common, under-recognised and extremely debilitating. Evidence on the safety of liposuction for chronic lipoedema is inadequate but raises concerns of major adverse events such as fluid imbalance, fat embolism, ...

Choosing Wisely®

American Podiatric Medical Association

The marked increase of prescribing and dispensing of compounded antibiotic powders for soaking after non-complicated office-based procedures has shown no more effectiveness than the current standard (i.e., over-the-counter Betadine, white vinegar, astringent soaks and Epsom salts) while having the obvious downside of adding significant overall cost to in-office procedures. The hundreds of dollars being spent on these expensive substitutes represents medical waste.

Choosing Wisely®

American Podiatric Medical Association

From an efficacy standpoint, there is no clear benefit to using commercially available hammertoe implants over conventional K-wire fixation, and the cost of commercial devices, when used routinely, may be prohibitive. Since some patients may prefer the idea of not having implantable hardware retained for life, while others may not want hardware exiting the toe during the immediate postoperative period, selection of hammertoe fixation represents an opportunity for shared decision making.