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Practice Guidelines

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Choosing Wisely: Avoid the use of surveillance cultures for the screening and treatment...

Avoid the use of surveillance cultures for the screening and treatment of asymptomatic bacteruria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=198

Choosing Wisely: Avoid transfusions of red blood cells for arbitrary hemoglobin or ...

Avoid transfusions of red blood cells for arbitrary hemoglobin or hematocrit thresholds and in the absence of symptoms or active coronary disease, heart failure, or stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=31

Choosing Wisely: Avoid using a fluoroquinolone antibiotic for the first-line treatment ...

Avoid using a fluoroquinolone antibiotic for the first-line treatment of uncomplicated UTIs in women.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=269

Choosing Wisely: Cough and cold medicines should not be prescribed or recommended for ...

Cough and cold medicines should not be prescribed or recommended for respiratory illnesses in children younger than four years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=56

Choosing Wisely: Don't obtain a urine culture unless there are clear signs and symptoms...

Don't obtain a urine culture unless there are clear signs and symptoms that localize to the urinary tract.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=96

Choosing Wisely: Don’t administer packed red blood cells in a young healthy patient ...

Don’t administer packed red blood cells in a young healthy patient without ongoing blood loss and hemoglobin of ≥ 6 g/dL unless symptomatic or hemodynamically unstable.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=132

Choosing Wisely: Don’t administer plasma or prothrombin complex concentrates for ...

Don’t administer plasma or prothrombin complex concentrates for nonemergent reversal of vitamin K antagonists (i.e., outside of the setting of major bleeding, intracranial hemorrhage, or anticipated emergent surgery).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=170

Choosing Wisely: Don’t administer prn (i.e., as needed) sedative, antipsychotic, or ...

Don’t administer prn (i.e., as needed) sedative, antipsychotic, or hypnotic medications to prevent and/or treat delirium without first assessing for, removing, and treating the underlying causes of delirium and using nonpharmacologic delirium prevention and treatment approaches.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=310

Choosing Wisely: Don’t continue surgical prophylactic antibiotics after the patient has...

Don’t continue surgical prophylactic antibiotics after the patient has left the operating room.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=293

Choosing Wisely: Don’t continue treatment for hepatic encephalopathy indefinitely after...

Don’t continue treatment for hepatic encephalopathy indefinitely after an initial episode with an identifiable precipitant.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=202

Choosing Wisely: Don’t culture or treat clinically uninfected lower extremity wounds ...

Don’t culture or treat clinically uninfected lower extremity wounds with systemic antibiotics.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=326

Choosing Wisely: Don’t delay progress toward liberation from mechanical ventilation. - ...

Don’t delay progress toward liberation from mechanical ventilation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=474

Choosing Wisely: Don’t do imaging for uncomplicated headache. - American Family Physician

Don’t do imaging for uncomplicated headache.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=38

Choosing Wisely: Don’t initially obtain x-rays for injured workers with acute ...

Don’t initially obtain x-rays for injured workers with acute non-specific low back pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=186

Choosing Wisely: Don’t initiate empiric antibiotic therapy in the patient with ...

Don’t initiate empiric antibiotic therapy in the patient with suspected invasive bacterial infection without first confirming that blood, urine, or other appropriate cultures have been obtained, excluding exceptional cases.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=391

Choosing Wisely: Don’t obtain CT or MRI in patients with a primary complaint of ...

Don’t obtain CT or MRI in patients with a primary complaint of hoarseness prior to examining the larynx.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=55

Choosing Wisely: Don’t obtain imaging (plain radiographs, MRI, CT, or other advanced ...

Don’t obtain imaging (plain radiographs, MRI, CT, or other advanced imaging) of the spine in patients with non-specific acute low back pain and without red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=206

Choosing Wisely: Don’t obtain routine blood work (e.g., complete blood count, liver ...

Don’t obtain routine blood work (e.g., complete blood count, liver function tests) other than a carcinoembryonic antigen level during surveillance for colorectal cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=315

Choosing Wisely: Don’t obtain spinal imaging for patients with acute low-back pain ...

Don’t obtain spinal imaging for patients with acute low-back pain during the six weeks after onset in the absence of red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=329

Choosing Wisely: Don’t order a comprehensive stool ova and parasite microscopic exam on...

Don’t order a comprehensive stool ova and parasite microscopic exam on patients presenting with diarrhea lasting less than seven days who have no immunodeficiency or no history of living in or traveling to endemic areas where gastrointestinal parasitic infections are prevalent. If ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=433

Choosing Wisely: Don’t order a factor V Leiden mutation assay as the initial test to ...

Don’t order a factor V Leiden mutation assay as the initial test to identify a congenital cause for a thrombotic event. First, order a phenotypic activated protein C resistance (APCR) ratio assay.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=429

Choosing Wisely: Don’t order a Lyme immunoblot without a positive Lyme enzyme ...

Don’t order a Lyme immunoblot without a positive Lyme enzyme immunoassay screening test.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=441

Choosing Wisely: Don’t order a screening ECG prior to initiation of ...

Don’t order a screening ECG prior to initiation of attention-deficit/hyperactivity disorder therapy in asymptomatic, otherwise healthy pediatric patients with no personal or family history of cardiac disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=454

Choosing Wisely: Don’t order a total or free triiodothyronine (T3) level when assessing...

Don’t order a total or free triiodothyronine (T3) level when assessing levothyroxine (T4) dose in hypothyroid patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=142

Choosing Wisely: Don’t order apolipoprotein E genetic testing as a predictive test for ...

Don’t order apolipoprotein E genetic testing as a predictive test for Alzheimer disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=282

Choosing Wisely: Don’t order creatinine or upper-tract imaging for patients with benign...

Don’t order creatinine or upper-tract imaging for patients with benign prostatic hyper-plasia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=90

Choosing Wisely: Don’t order CT scan of the head/brain for sudden hearing loss. - ...

Don’t order CT scan of the head/brain for sudden hearing loss.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=54

Choosing Wisely: Don’t order HFE genetic testing for a patient without iron overload or...

Don’t order HFE genetic testing for a patient without iron overload or a family history of HFE-associated hereditary hemochromatosis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=284

Choosing Wisely: Don’t order imaging studies in patients with non-pulsatile bilateral ...

Don’t order imaging studies in patients with non-pulsatile bilateral tinnitus, symmetric hearing loss, and an otherwise normal history and physical examination.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=240

Choosing Wisely: Don’t order low back x-rays as part of a routine preplacement medical ...

Don’t order low back x-rays as part of a routine preplacement medical examination.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=188

Choosing Wisely: Don’t order Lyme serology on patients with a primary erythema migrans ...

Don’t order Lyme serology on patients with a primary erythema migrans lesion.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=440

Choosing Wisely: Don’t order more than one CT scan of the paranasal sinuses within 90 ...

Don’t order more than one CT scan of the paranasal sinuses within 90 days to evaluate uncomplicated chronic rhinosinusitis patients when the paranasal sinus CT obtained is of adequate quality and resolution to be interpreted by the clinician and used for clinical decision-making and/or ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=241

Choosing Wisely: Don’t order MTHFR genetic testing for the risk assessment of ...

Don’t order MTHFR genetic testing for the risk assessment of hereditary thrombophilia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=283

Choosing Wisely: Don’t order routine follow-up chest imaging for post-acute and ...

Don’t order routine follow-up chest imaging for post-acute and long-term care residents with CAP whose symptoms have resolved within five to seven days.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=457

Choosing Wisely: Don’t order urine cultures unless patients have symptoms consistent ...

Don’t order urine cultures unless patients have symptoms consistent with UTI.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=442

Choosing Wisely: Don’t perform cardiac imaging as a preoperative assessment in patients...

Don’t perform cardiac imaging as a preoperative assessment in patients scheduled to undergo low- or intermediate-risk noncardiac surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=166

Choosing Wisely: Don’t perform cardiac imaging for patients who are at low risk. - ...

Don’t perform cardiac imaging for patients who are at low risk.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=165

Choosing Wisely: Don’t perform chest CT (CT angiography) to evaluate for possible ...

Don’t perform chest CT (CT angiography) to evaluate for possible pulmonary embolism in patients with a low clinical probability and negative results of a highly sensitive D-dimer assay.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=155

Choosing Wisely: Don’t perform CT surveillance for evaluation of indeterminate ...

Don’t perform CT surveillance for evaluation of indeterminate pulmonary nodules at more frequent intervals or for a longer period of time than recommended by established guidelines.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=153

Choosing Wisely: Don’t perform pelvic exams on asymptomatic nonpregnant women, unless ...

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

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=368

Choosing Wisely: Don’t perform population-based screening for 25-OH-vitamin D ...

Don’t perform population-based screening for 25-OH-vitamin D deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=67

Choosing Wisely: Don’t perform repeat imaging to monitor patients’ progress. - American...

Don’t perform repeat imaging to monitor patients’ progress.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=330

Choosing Wisely: Don’t perform routine preoperative hemostatic testing (PT, aPTT) in an...

Don’t perform routine preoperative hemostatic testing (PT, aPTT) in an otherwise healthy child with no prior personal or family history of bleeding.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=407

Choosing Wisely: Don’t perform voiding cystourethrogram routinely in first febrile ...

Don’t perform voiding cystourethrogram routinely in first febrile urinary tract infection (UTI) in children aged two to 24 months.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=117

Choosing Wisely: Don’t place an indwelling urinary catheter to manage urinary ...

Don’t place an indwelling urinary catheter to manage urinary incontinence.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=263

Choosing Wisely: Don’t prescribe antimicrobials to patients using indwelling or ...

Don’t prescribe antimicrobials to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=272

Choosing Wisely: Don’t prescribe antipsychotic medications for behavioral and ...

Don’t prescribe antipsychotic medications for behavioral and psychological symptoms of dementia (BPSD) in individuals with dementia without an assessment for an underlying cause of the behavior.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=97

Choosing Wisely: Don’t prescribe antipsychotic medications to patients for any ...

Don’t prescribe antipsychotic medications to patients for any indication without appropriate initial evaluation and appropriate ongoing monitoring.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=110

Choosing Wisely: Don’t prescribe IV antibiotics for predetermined durations for ...

Don’t prescribe IV antibiotics for predetermined durations for patients hospitalized with infections such as pyelonephritis, osteomyelitis and complicated pneumonia. Consider early transition to oral antibiotics.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=461

Choosing Wisely: Don’t prescribe lumbar supports or braces for the long-term treatment ...

Don’t prescribe lumbar supports or braces for the long-term treatment or prevention of low-back pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=333

Choosing Wisely: Don’t prescribe opioid analgesics as first-line therapy to treat ...

Don’t prescribe opioid analgesics as first-line therapy to treat chronic non-cancer pain.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=178

Choosing Wisely: Don’t prescribe opioids for treatment of chronic or acute pain for ...

Don’t prescribe opioids for treatment of chronic or acute pain for workers who perform safety-sensitive jobs such as operating motor vehicles, forklifts, cranes, or other heavy equipment.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=184

Choosing Wisely: Don’t prescribe oral antibiotics for uncomplicated external otitis. - ...

Don’t prescribe oral antibiotics for uncomplicated external otitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=52

Choosing Wisely: Don’t prescribe testosterone therapy unless there is biochemical ...

Don’t prescribe testosterone therapy unless there is biochemical evidence of testosterone deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=143

Choosing Wisely: Don’t prescribe testosterone therapy unless there is laboratory ...

Don’t prescribe testosterone therapy unless there is laboratory evidence of testosterone deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=245

Choosing Wisely: Don’t prescribe testosterone to men with erectile dysfunction who have...

Don’t prescribe testosterone to men with erectile dysfunction who have normal testosterone levels.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=89

Choosing Wisely: Don’t recommend imaging of the spine within the first six weeks of an ...

Don’t recommend imaging of the spine within the first six weeks of an acute episode of low back pain in the absence of red flags.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=127

Choosing Wisely: Don’t recommend screening for breast, colorectal or prostate cancer if...

Don’t recommend screening for breast, colorectal or prostate cancer if life expectancy is estimated to be less than 10 years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=264

Choosing Wisely: Don’t reimage deep vein thrombosis in the absence of a clinical ...

Don’t reimage deep vein thrombosis in the absence of a clinical change.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=33

Choosing Wisely: Don’t request just a serum creatinine to test adult patients with ...

Don’t request just a serum creatinine to test adult patients with diabetes and/or hypertension for chronic kidney disease; use the kidney profile (serum creatinine with eGFR and urinary albumin-creatinine ratio.)

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=387

Choosing Wisely: Don’t retain catheters and drains in place without a clear indication....

Don’t retain catheters and drains in place without a clear indication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=473

Choosing Wisely: Don’t routinely continue sedative hypnotics (Restoril, Ambien), ...

Don’t routinely continue sedative hypnotics (Restoril, Ambien), diphenhydramine (Benadryl), benzodiazepines, or serotonin modulators (Trazadone) for long-term treatment of insomnia in geriatric populations. Consider the use of cognitive behavioral therapy as an alternative.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=459

Choosing Wisely: Don’t routinely measure 1,25-dihydroxyvitamin D unless the patient has...

Don’t routinely measure 1,25-dihydroxyvitamin D unless the patient has hypercalcemia or decreased kidney function.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=140

Choosing Wisely: Don’t routinely obtain radiographic imaging for patients who meet ...

Don’t routinely obtain radiographic imaging for patients who meet diagnostic criteria for uncomplicated acute rhinosinusitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=51

Choosing Wisely: Don’t routinely order a thyroid ultrasound in patients with abnormal ...

Don’t routinely order a thyroid ultrasound in patients with abnormal thyroid function tests if there is no palpable abnormality of the thyroid gland.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=141

Choosing Wisely: Don’t routinely order expanded lipid panels (particle sizing, nuclear ...

Don’t routinely order expanded lipid panels (particle sizing, nuclear magnetic resonance) as screening tests for cardiovascular disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=316

Choosing Wisely: Don’t routinely order x-ray for diagnosis of plantar fasciitis/heel ...

Don’t routinely order x-ray for diagnosis of plantar fasciitis/heel pain in employees who stand or walk at work.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=187

Choosing Wisely: Don’t routinely perform sinonasal imaging in patients with symptoms ...

Don’t routinely perform sinonasal imaging in patients with symptoms limited to a primary diagnosis of allergic rhinitis alone.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=242

Choosing Wisely: Don’t routinely prescribe antibiotics for inflamed epidermal cysts. - ...

Don’t routinely prescribe antibiotics for inflamed epidermal cysts.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=288

Choosing Wisely: Don’t routinely prescribe two or more antipsychotic medications ...

Don’t routinely prescribe two or more antipsychotic medications concurrently.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=111

Choosing Wisely: Don’t routinely recommend daily home glucose monitoring for patients ...

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

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=369

Choosing Wisely: Don’t routinely recommend follow-up mammograms more often than ...

Don’t routinely recommend follow-up mammograms more often than annually for women who have had radiotherapy following breast conserving surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=213

Choosing Wisely: Don’t routinely test more than one stool specimen per week for C. ...

Don’t routinely test more than one stool specimen per week for C. difficile by nucleic acid amplification test.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=439

Choosing Wisely: Don’t routinely transfuse stable, asymptomatic hospitalized patients ...

Don’t routinely transfuse stable, asymptomatic hospitalized patients with a hemoglobin level greater than 7–8 grams.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=304

Choosing Wisely: Don’t routinely use airway clearance therapy in conditions such as ...

Don’t routinely use airway clearance therapy in conditions such as asthma, bronchiolitis, and pneumonia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=446

Choosing Wisely: Don’t routinely use graduated compression stockings in surgical ...

Don’t routinely use graduated compression stockings in surgical patients as mechanical prophylaxis for preventing venous thromboembolism (VTE) after surgery, but do consider using intermittent pneumatic compression devices.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=383

Choosing Wisely: Don’t routinely use MRI to diagnose bone infection (osteomyelitis) in ...

Don’t routinely use MRI to diagnose bone infection (osteomyelitis) in the foot.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=328

Choosing Wisely: Don’t screen for renal artery stenosis in patients without resistant ...

Don’t screen for renal artery stenosis in patients without resistant hypertension and with normal renal function, even if known atherosclerosis is present.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=37

Choosing Wisely: Don’t test for Lyme disease as a cause of musculoskeletal symptoms ...

Don’t test for Lyme disease as a cause of musculoskeletal symptoms without an exposure history and appropriate exam findings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=152

Choosing Wisely: Don’t test women for MTHFR mutations. - American Family Physician

Don’t test women for MTHFR mutations.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=412

Choosing Wisely: Don’t transfuse more than the minimum number of red blood cell (RBC) ...

Don’t transfuse more than the minimum number 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, noncardiac inpatients).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=168

Choosing Wisely: Don’t transfuse more than the minimum of red blood cell units ...

Don’t transfuse more than the minimum of red blood cell 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).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=372

Choosing Wisely: Don’t transfuse plasma to correct a laboratory value; treat the ...

Don’t transfuse plasma to correct a laboratory value; treat the clinical status of the patient.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=388

Choosing Wisely: Don’t transfuse platelets in an asymptomatic (i.e., nonbleeding) ...

Don’t transfuse platelets in an asymptomatic (i.e., nonbleeding) pediatric patient (e.g., aplastic anemia, leukemia), with a platelet count > 10,000/mcL unless other signs and/or symptoms for bleeding are present, or if the patient is to undergo an invasive procedure.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=408

Choosing Wisely: Don’t transfuse RBCs as the sole intervention for expansion of ...

Don’t transfuse RBCs as the sole intervention for expansion of circulatory volume unless deemed necessary for patients experiencing severe hemorrhage.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=431

Choosing Wisely: Don’t treat gastroesophageal reflux in infants routinely with acid ...

Don’t treat gastroesophageal reflux in infants routinely with acid suppression therapy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=19

Choosing Wisely: Don’t treat patients with immune thrombocytopenic purpura in the ...

Don’t treat patients with immune thrombocytopenic purpura in the absence of bleeding or a very low platelet count.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=230

Choosing Wisely: Don’t treat uncomplicated community-acquired pneumonia in otherwise ...

Don’t treat uncomplicated community-acquired pneumonia in otherwise healthy, immunized, hospitalized patients with antibiotic therapy broader than ampicillin.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=393

Choosing Wisely: Don’t treat uncomplicated cystitis in women with fluoroquinolones if ...

Don’t treat uncomplicated cystitis in women with fluoroquinolones if other oral antibiotic treatment options exist.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=343

Choosing Wisely: Don’t treat with an anticoagulant for more than three months in a ...

Don’t treat with an anticoagulant for more than three months in a patient with a first VTE occurring in the setting of a major transient risk factor.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=227

Choosing Wisely: Don’t use a broad spectrum antimicrobial agent for perioperative ...

Don’t use a broad spectrum antimicrobial agent for perioperative prophylaxis or continue prophylaxis after the incision is closed for uncomplicated clean and clean-contaminated procedures.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=392

Choosing Wisely: Don’t use antibiotic therapy for stasis dermatitis of lower ...

Don’t use antibiotic therapy for stasis dermatitis of lower extremities.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=255

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=112

Choosing Wisely: Don’t use broad-spectrum antibiotics such as ceftriaxone for children ...

Don’t use broad-spectrum antibiotics such as ceftriaxone for children hospitalized with uncomplicated CAP. Use narrow-spectrum antibiotics such as penicillin, ampicillin, or amoxicillin.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=464

Choosing Wisely: Don’t use glucosamine and chondroitin to treat patients with ...

Don’t use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=103

Choosing Wisely: Don’t use lateral wedge insoles to treat patients with symptomatic ...

Don’t use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=104

Choosing Wisely: Don’t use physical restraints to manage behavioral symptoms of ...

Don’t use physical restraints to manage behavioral symptoms of hospitalized older adults with delirium.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=190

Choosing Wisely: Don’t use plasma catecholamines to evaluate a patient for ...

Don’t use plasma catecholamines to evaluate a patient for pheochromocytoma or paraganglioma. Instead, use plasma free metanephrines or urinary fractionated metanephrines.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=422

Choosing Wisely: Don’t use serum cortisol levels as initial screening for adrenal ...

Don’t use serum cortisol levels as initial screening for adrenal hyperfunction (Cushing syndrome); instead consider superior strategies provided in the justification.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=494

Choosing Wisely: Don’t use sliding scale insulin (SSI) for long-term diabetes ...

Don’t use sliding scale insulin (SSI) for long-term diabetes management for individuals residing in the nursing home.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=95

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