ITEMS IN AFP WITH KEYWORD:
Clinical practice guidelines, essential tools for evidence-based practice, have proliferated over the past few decades but remain controversial for several reasons.
The annual installment of this series summarizes the top POEMs (patient-oriented evidence that matters) of 2019 consistent with Choosing Wisely. These POEMs were highly rated by physician members of the Canadian Medical Association using a validated tool. Topics in this year’s group of studies include musculoskeletal conditions, respiratory disease, and screening/preventive care.
This year’s collection of studies addresses actions to consider avoiding in clinical practice based on highly rated POEMs from 2018. Topics include musculoskeletal conditions, respiratory disease, infections, and cardiovascular disease, among others.
The Lown Institute’s Right Care Alliance Children’s Health Council identified five “do” recommendations and five “don’t” recommendations that highlight underuse and overuse in children’s health care.
Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.
EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.
This year’s collection of studies addresses actions to consider avoiding in clinical practice based on highly rated POEMs from 2017. Topics include musculoskeletal conditions, respiratory disease, infections, and cardiovascular disease prevention, among others.
In 2016, the USPSTF updated 14 previous recommendation statements and added a new recommendation on screening for autism spectrum disorder. Several updated recommendations are notable for having significant changes.
Review this collection of recommendations on how to avoid overdiagnosis and overtreatment, and save patients from interventions that may be more expensive, ineffective, or harmful.
Initiatives such as Choosing Wisely and updating services such as POEMs let us decide what's best to do based on unbiased, updated information.