Resultados de Búsqueda

Choosing Wisely Australia

Royal Australian and New Zealand College of Radiologists

Whole-breast radiation therapy decreases local recurrence and improves survival of women with invasive breast cancer treated with breast conservation therapy. Most studies have utilized “conventionally fractionated” schedules that deliver therapy over 5-6 weeks, often followed by 1-2 weeks of boost therapy. Recent studies, however, have demonstrated equivalent tumor control and cosmetic outcome in specific patient populations with shorter courses of therapy (~4 weeks). Patients and their ...

Choosing Wisely Australia

Australian and New Zealand Society for Geriatric Medicine

There is little evidence to support the effectiveness of physical restraints to manage people with delirium who exhibit behaviours that risk injury. Physical restraints can lead to serious injury or death and may worsen agitation and delirium. Restraints should therefore be used as a last resort and should be discontinued at the earliest possible time, particularly given that effective non-pharmacological alternatives are available.

Choosing Wisely Australia

Australian and New Zealand Society for Geriatric Medicine

Older patients disproportionately use more prescription and non-prescription drugs than other populations, increasing the risk of side effects. Evidence shows that polypharmacy is associated with adverse drug reactions and an increased risk of hospital admissions. Medication review with regular, scheduled follow ups are recommended for improving quality of life in older adults with polypharmacy.

Choosing Wisely Australia

Australian and New Zealand Society for Geriatric Medicine

Studies have found that asymptomatic bacteriuria frequently resolves without any treatment and frequently reoccurs after treatment. Antimicrobial treatment studies for asymptomatic bacteriuria in older adults demonstrate no benefits and, in fact, often show increased adverse antimicrobial effects.

Choosing Wisely Australia

Australian and New Zealand Society for Geriatric Medicine

There is strong evidence that use of sedative-hypnotics (both benzodiazepines and non-benzodiazepines) is associated with various adverse effects in elderly people such as falls and fractures. Older patients, their caregivers and their providers should recognize these potential harms when considering treatment strategies for insomnia, agitation or delirium. Thus these drugs should be prescribed with caution, and their use monitored closely.