AAFP issues top five 'choosing wisely' recommendations

February 26, 2013
AAFP issues top five <i>Choosing wisely</i> recommendations
The top five primary care issues that patients and physicians should question have been released by the American Academy of Family Physicians as part of the Choosing Wisely Campaign.

(HealthDay)—The top five primary care issues that patients and physicians should question have been released by the American Academy of Family Physicians (AAFP) as part of the Choosing Wisely Campaign.

The AAFP examined evidence-based items in primary care practice that would lead to significant health benefits, reduce risk and harms, and decrease costs. After developing an initial list, the literature was reviewed to provide evidence to support or refute the activities. The AAFP identified the Top Five Recommendations and also a set of five additional recommendations for the second phase of the Choosing Wisely Campaign.

The Top Five Recommendations issued by the AAFP are: (1) imaging should not be performed for low-back pain within the first six weeks, unless red flags indicate serious conditions; (2) antibiotics should not be routinely prescribed for acute mild-to-moderate sinusitis; (3) dual-energy X-ray screening for osteoporosis is not recommended for women younger than 65 years or men younger than 70 years without risk factors; (4) annual or other should not be ordered for low-risk asymptomatic patients; and (5) women younger than 21 or those who have had a non-cancer-related hysterectomy should not undergo Papanicolaou testing. The second set of recommendations include guidelines for avoiding elective induction of labor and for carotid artery stenosis and .

"The goal was to identify items common in primary care practice, strongly supported by the evidence and literature, that would lead to significant health benefits, reduce risks and harm, and reduce costs," the authors write.

Explore further: AAN issues top five Choosing wisely recommendations

More information: More Information

Related Stories

AAN issues top five Choosing wisely recommendations

February 25, 2013
(HealthDay)—The American Academy of Neurology's (AAN's) Top Five Recommendations in the Choosing Wisely campaign, established to promote high-value neurologic medicine and to foster physician-patient communication, have ...

'Top 5' list helps primary care doctors make wiser clinical decisions

May 23, 2011
A physician panel in the primary care specialty of internal medicine has identified common clinical activities where changes in practice could lead to higher quality care and better use of finite clinical resources.

AAFP to Obama: Family docs key in violence prevention

January 25, 2013
(HealthDay)—Family physicians can play a role in addressing and preventing violence in the community, according to a Jan. 17 letter to President Obama from the American Association of Family Physicians (AAFP).

New breast cancer screening guidelines released

November 21, 2011
New breast cancer screening guidelines for women at average risk of breast cancer, published in CMAJ (Canadian Medical Association Journal), recommend no routine mammography screening for women aged 40-49 and extend the screening ...

Asymptomatic often sent for lung cancer screening tests

March 13, 2012
(HealthDay) -- A majority of primary care physicians report ordering lung cancer screening tests for asymptomatic patients, according to research published in the March/April issue of the Annals of Family Medicine.

Recommended for you

Number of older people with four or more diseases will double by 2035, say researchers

January 23, 2018
A study published today in Age and Ageing, the scientific journal of the British Geriatrics Society, reports that the number of older people diagnosed with four or more diseases will double between 2015 and 2035. A third ...

Placental accumulation of flame retardant chemical alters serotonin production in rats

January 22, 2018
A North Carolina State University-led research team has shown a connection between exposure to a widely used flame retardant chemical mixture and disruption of normal placental function in rats, leading to altered production ...

Marijuana use does not lower chances of getting pregnant

January 22, 2018
Marijuana use—by either men or women—does not appear to lower a couple's chances of getting pregnant, according to a new study led by Boston University School of Public Health (BUSPH) researchers.

Women run faster after taking newly developed supplement, study finds

January 19, 2018
A new study found that women who took a specially prepared blend of minerals and nutrients for a month saw their 3-mile run times drop by almost a minute.

Americans are getting more sleep

January 19, 2018
Although more than one in three Americans still don't get enough sleep, a new analysis shows first signs of success in the fight for more shut eye. According to data from 181,335 respondents aged 15 and older who participated ...

Wine is good for you—to a point

January 18, 2018
The Mediterranean diet has become synonymous with healthy eating, but there's one thing in it that stands out: It's cool to drink wine.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.