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Choosing Wisely Canada

CMA’s Forum on General and Family Practice Issues and College of Family Physicians of Canada

While self-monitoring of blood glucose (SMBG) for patients with diabetes is recommended by certain groups to help monitor glycemic control, for most adults with type II diabetes who are not using insulin, many studies have shown that routine SMBG does little to control blood sugar over time.

Choosing Wisely Canada

CMA’s Forum on General and Family Practice Issues and College of Family Physicians of Canada

While all patients aged 50 years and older should be evaluated for risk factors for osteoporosis using tools such as the osteoporosis self-assessment screening tool (OST), bone mineral density screening via DEXA is not warranted on women under 65 or men under 70 at low risk.

Choosing Wisely Canada

CMA’s Forum on General and Family Practice Issues and College of Family Physicians of Canada

A periodic physical examination has tremendous benefits; it allows physicians to check on their healthy patients while they remain healthy. However, the benefits of this check-up being done on an annual basis are questionable since many chronic illnesses that benefit from early detection take longer than a year to develop. Preventive health checks should instead be done at time intervals recommended by guidelines, such as those noted by the Canadian Task Force on the Periodic Health Examination.

Choosing Wisely Canada

CMA’s Forum on General and Family Practice Issues and College of Family Physicians of Canada

If, after this careful assessment and discussion, a woman’s breast cancer risk is not high, current evidence indicates that the benefit of screening mammography is small. Furthermore, for this age group there is a greater risk of false-positive screening results and consequently of undergoing unnecessary or harmful follow-up procedures. As always, clinicians need to be aware of changes in the balance of evidence on risk and benefit and support women in understanding this evidence. High ...

Choosing Wisely Canada

CMA’s Forum on General and Family Practice Issues and College of Family Physicians of Canada

Because Canada is located above the 35° North latitude, the average Canadian’s exposure to sunlight is insufficient to maintain adequate Vitamin D levels, especially during the winter. Therefore, measuring serum 25-hydroxyvitamin D levels is not necessary because routine supplementation with Vitamin D is appropriate for the general population. An exception is made for measuring Vitamin D levels in patients with significant renal or metabolic disease.