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Choosing Wisely®

American Society of Breast Surgeons

After a new diagnosis of invasive breast cancer, most patients undergoing partial breast removal (lumpectomy) benefit from a sentinel node (SN) biopsy, a procedure that removes a small number of lymph nodes beneath the arm. In the past, patients found to have cancer in any SN underwent extra surgery to remove more nodes. Recent evidence suggests further node surgery is not necessary in patients with cancer found in fewer than three SN if the patient receives other recommended cancer treatments.

Choosing Wisely®

American Society of Breast Surgeons

After a new diagnosis of breast cancer, breast MRI can be useful in selected patients to aid treatment decisions. However, there is a lack of evidence that routine use of MRI lessens cancer recurrence, death from cancer or the need for re-operation after lumpectomy surgery. The routine use of MRI is associated with an increased need for subsequent breast biopsy procedures, delays in time to treatment and higher cost of care. Increased mastectomy rates can occur if the MRI finds additional ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Catalan Society of Paediatrics -Catalan Society of Urology

Phimosis is physiological until age 3 or 4. It affects 96% of newborns, 50% of infants, 20% of children aged 2 years, and 10% of children under 3 years. Because of the young age, the surgical intervention (circumcision) in children under 3 years is performed under general anesthesia. Children under 3 years should not receive a circumcision, given the high probability of spontaneous resolution of phimosis and the potential adverse effects of surgery.

Less Is More Collection - JAMA Network

Oberndorfer T.JAMA Intern Med. 2016;176(1):18-19.

For further information please visit the website of the initiative (link below)

Otros artículos/Other articles on this topic

Lessing J.JAMA Intern Med. 2016;176(2):165-166.

For further information please visit the website of the initiative (link below)