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Resultados de RecomendacionesRegistros :  6737

Avoid the routine use of “whole-body” diagnostic computed tomography (CT) scanning in patients with minor or single system trauma.


Choosing Wisely Canada

Canadian Association of General Surgeons


Aggressive use of “whole-body” CT scanning improves early diagnosis of injury and may even positively impact survival in polytrauma patients. However, the significance of radiation exposure with these studies must be considered, especially in patients with low energy mechanisms of injury and absent physical examination findings consistent with major trauma.

ver más ... 2014

Do not perform axillary lymph node dissection for clinical stages I and II breast cancer with clinically negative lymph nodes without attempting sentinel node biopsy.


Choosing Wisely Canada

Canadian Association of General Surgeons


Sentinel node biopsy is proven effective at staging the axilla for positive lymph nodes and is proven to have fewer short and long term side effects, and in particular is associated with a markedly lower risk of lymphedema. It is not recommended to perform axilary node dissection when: - The sentinel lymph nodes are negative for cancer; - One or two sentinel nodes are involved with cancer that is not extensive in the node, the patient received breast conserving surgery and is planning to ...

ver más ... 2014

Do not start valproate in primary care to treat bipolar disorder.


NICE

National Institute for Health and Clinical Excellence (NICE)


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ver más ... 2014

Do not use questionnaires in primary care to identify bipolar disorder in adults.


NICE

National Institute for Health and Clinical Excellence (NICE)


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ver más ... 2014