Choosing Wisely

20 Total

Annual EKGs for Low-risk Patients - Choosing Wisely

Choosing Wisely® Recommendation: Don't order annual EKGs for low-risk patients.

Antibiotics for Otitis Media - Choosing Wisely

Choosing Wisely® Recommendation: Don't routinely prescribe antibiotics for otitis media in children aged 2-12 years.

Antibiotics for Sinusitis - Choosing Wisely

Choosing Wisely® Recommendation: Don't routinely prescribe antibiotics for acute mild-to-moderate sinusitis.

Daily Home Glucose Monitoring for Type 2 Diabetes - Choosing Wisely

Don’t routinely recommend daily home glucose monitoring for patients who have Type 2 diabetes mellitus and are not using insulin.

DEXA for Osteoporosis - Choosing Wisely

Choosing Wisely® Recommendation: Don't use dual-energy X-ray absorptiometry (DEXA) screening for osteoporosis in women under age 65 or men under 70 with no risk factors.

Elective Inductions of Labor Between 39 and 41 Weeks - Choosing Wisely

CHOOSING WISELY® RECOMMENDATION UNDER REVIEW

Elective, Non-medically Indicated Inductions of Labor or Cesarean Deliveries Before 39 Weeks - Choosing Wisely

Choosing Wisely® Recommendation: Don’t schedule elective, non-medically indicated inductions of labor or Cesarean deliveries before 39 weeks, 0 days gestational age.

Imaging for Low Back Pain - Choosing Wisely

Choosing Wisely® Recommendation: Don't do imaging for low back pain within the first six weeks, unless red flags are present.

Pap Smears - Choosing Wisely

Choosing Wisely® Recommendation: Don't perform Pap smears on women under the age of 21 or women who have had a hysterectomy for non-cancer disease.

Pelvic Exam or Physical Exams to Prescribe Oral Contraceptive Medications - Choosing Wisely

Choosing Wisely® Recommendation: Do not require a pelvic exam or other physical exam to prescribe oral contraceptive medications.

Prostate Cancer Screening - Choosing Wisely

Choosing Wisely® Recommendation: Do not routinely screen for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

Red Blood Cell Transfusion - Choosing Wisely

Don’t transfuse more than the minimum of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable patients).

Scoliosis in Adolescents - Choosing Wisely

Due to recently-published evidence related to screening adolescents for scoliosis, the AAFP has withdrawn this recommendation.

Screening for Carotid Artery Stenosis in Asymptomatic Adult Patients - Choosing Wisely

Choosing Wisely® Recommendation: Don’t screen for carotid artery stenosis (CAS) in asymptomatic adult patients.

Screening for Cervical Cancer in Women Older Than 65 Years of Age - Choosing Wisely

Choosing Wisely® Recommendation: Don’t screen women older than 65 years of age for cervical cancer who have had adequate prior screening and are not otherwise at high risk for cervical cancer.

Screening for Genital Herpes Simplex Virus Infection in Asymptomatic Adults - Choosing Wisely

Don’t screen for genital herpes simplex virus infection (HSV) in asymptomatic adults, including pregnant women.

Screening for Testicular Cancer - Choosing Wisely

Don’t screen for testicular cancer in asymptomatic adolescent and adult males.

Screening Pelvic Exams in Asymptomatic Non-pregnant Women - Choosing Wisely

Don’t perform pelvic exams on asymptomatic nonpregnant women, unless necessary for guideline-appropriate screening for cervical cancer.

Voiding Cystourethrogram (VCUG) for First Febrile Urinary Tract Infection in Young Children - Choosing Wisely

Choosing Wisely® Recommendation: Do not perform voiding cystourethrogram (VCUG) routinely in first febrile urinary tract infection (UTI) in children aged 2-24 months.