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Choosing Wisely Canada

Medical Students and Trainees

When ordering tests, it is important to always consider the diagnostic characteristics such as sensitivity, specificity and predictive value in light of the patient’s pre-test probability. Patients who are at very low baseline risk often do not require an additional test to rule out the diagnosis. Furthermore, evidence suggests that in such low-risk patients, diagnostic tests do not reassure patients, decrease their anxiety, or resolve their symptoms. Examples include the use of computed ...

Choosing Wisely Canada

Medical Students and Trainees

There are often diagnostic approaches and treatment options that result in the same clinical outcome but are less invasive. Examples include the use of ultrasound instead of computed tomography (CT) scanning to diagnose acute appendicitis in children, or the use of an oral antibiotic that has similar oral bioavailability as its intravenous counterpart. Taking time to consider the diagnostic sensitivity and specificity of less invasive tests or the therapeutic effectiveness of less invasive ...

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

Societat Catalana de Pediatria

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NICE

National Institute for Health and Clinical Excellence (NICE)

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NICE

National Institute for Health and Clinical Excellence (NICE)

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