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In children aged 0-18 years with gastroesophageal reflux disease, Do not perform a gastroscopy to confirm GERD.
Choosing Wisely Netherlands Campaign
Dutch Association of Pediatrics -Dutch OMS Association - ZonMw
Gastroesophageal reflux (GER) is the passive movement of gastric contents into the esophagus. GERD is defined as GER causing troublesome symptoms and complications. Gastroscopy should not be performed to confirm the diagnosis, unless: • red-flag symptoms (such as failure to thrive) are present that could indicate a cause other than GERD, such as eosinophilic esophagitis (chronic inflammation of the esophagus); • surgery is required after drug therapy has failed; • patient is suffering ...
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Choosing Wisely Netherlands Campaign
Dutch Association of Internal Medicine -Dutch OMS Association - ZonMw
Acute abdominal pain is a very common reason for presentation at the A&E department.
It’s important to establish the correct diagnosis in a rapid and reliable way. After taking a
history of the symptoms and performing a physical examination, X-rays, ultrasound and CT
scans may support the physician.
For further information please visit the website of the initiative (link below)
Switch from intravenous to oral antibiotics as soon as possible and consider discharging the patient.
Choosing Wisely Netherlands Campaign
Dutch Association of Internal Medicine -Dutch OMS Association - ZonMw
Early switch from intravenous administration of antibiotics to taking tablets is evidence based and safe. An earlier switch is patient-friendly, means less work for nursing staff and leads to considerable cost savings. An additional advantage is that the patient can be discharged earlier, which is not only better for the patient but saves even more money.
For further information please visit the website of the initiative (link below)
Do not test for hereditary thrombophilia after the first thrombo-embolic event.
Choosing Wisely Netherlands Campaign
Dutch Association of Internal Medicine -Dutch OMS Association - ZonMw
The result of the clotting test will not influence the instigated treatment. In addition, it avoids unnecessary screening and thus worries for the patient and his/her family if the result turns out positive. Not doing this test is patient-friendly and saves money.
For further information please visit the website of the initiative (link below)
Avoid inserting indwelling urinary catheters in stable patients in the A&E Department who have spontaneous diuresis.
Choosing Wisely Netherlands Campaign
Dutch Association of Internal Medicine -Dutch OMS Association - ZonMw
Inserting urinary catheters is associated with the risk of hospital acquired urinary tract infection and additional costs. Catheter-associated urinary tract infections are a common problem in Dutch hospitals.
For further information please visit the website of the initiative (link below)