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Choosing Wisely®

American Podiatric Medical Association

Diabetic peripheral neuropathy is a progressive condition that may be painful or painless. Neuropathic pain agents (for example: anticonvulsants or antidepressants) have been studied to reduce painful symptoms in those with neuropathy; however, they have no effect on painless neuropathy and their many side effects can cause unnecessary harm (for example: unwanted drug interactions, increased fall risk, etc.)

Choosing Wisely®

American Academy of Pediatrics

Children who perform clean intermittent catheterization may have colonization of the urinary tract by bacteria that are sometimes considered pathogenic. Typical UTI symptoms include fever, chills, and/or pain. Guidelines have been published that discourage both detection and treatment of asymptomatic bacteriuria in non-pregnant patients, including children.

Choosing Wisely®

Society of Hospital Medicine

Opioids have serious risks including opioid use disorder and overdose. If opioid therapy is required, pain management with short acting opioids should be the lowest effective dose for the shortest required duration, often no more than 1 week. A trial of non-opioid and non-pharmacological alternatives is recommended for opioid naïve patients. If opioids are used, they may be used in conjunction with non-opioid methods, when clinically appropriate. For patients already on opioids for ...

Choosing Wisely®

American Medical Society for Sports Medicine

Both children and adults commonly present to healthcare settings with ankle and foot injuries. Multiple randomized control studies and meta-analyses have shown the high sensitivity of the Ottawa Ankle Rules to rule out fractures when criteria are not met and thus avoid the need for imaging in the acute setting. There is much less data for application of the Ottawa Ankle Rules for pediatric patients under the age of 6 due to less ankle and midfoot injuries in this patient population as well as ...

Choosing Wisely®

American Academy of Pediatrics

Cryptorchidism is an affectation of one or both testicles that prevents them from moving from the abdomen to the scrotum. As there is no test that is accurate, safe and accessible enough to confirm testicular absence, a surgical exploration such as diagnostic laparoscopy or open exploration is the gold standard for both diagnostic and therapeutic purposes for non-palpable testicles.