Vnitr Lek 2021, 67(7):390-393 | DOI: 10.36290/vnl.2021.105

Ways to make the right decisions in internal medicine and some specialized fields

Pavel Havránek
Interní oddělení Nemocnice České Budějovice

The article presents the Choosing wisely (CHW) approach to selected problems of internal medicine, as developed by professional societies in the USA, Great Britain, Canada, Australia and the Federal Republic of Germany. It deals in more detail with issues and procedures in specialized fields of nephrology and rheumatology. There are negative, but also some positive recommendations on how the CHW approach views them.

Keywords: screening, prostate specific antigen, multivitamins, nootropics, antipsychotics, antidepressants, autoantibodies, Lyme disease, colchicine, glucocorticoids, low back pain, densitometry, renal failure, proteinuria, bacteriuria.

Published: November 1, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Havránek P. Ways to make the right decisions in internal medicine and some specialized fields. Vnitr Lek. 2021;67(7):390-393. doi: 10.36290/vnl.2021.105.
Download citation

References

  1. https://www.choosingwisely.org/getting‑started/lists/
  2. https://www.choosingwisely.org.au/recommendations
  3. https://choosingwiselycanada.org/
  4. https://www.aafp.org/family‑physician/patient‑care/clinical‑recommendations/choosing‑wisely.html
  5. https://www.klug‑entscheiden.com/fileadmin/user_upload/2021_Sammelband_Klug_entscheiden_Web_final.DataBrief: findings from a national survey of physicians. Available at: http://www.choosingwisely.org/wp‑content/uploads/2017/09/2017- Research‑Report‑Topline‑Resutls.pdf. Accessed October 26, 2018.
  6. Morden NE, Colla CH, Sequist TD, Rosenthal MB. Choosing wisely -the politics and economics of labeling low‑value services. N Engl J Med. 2014; 370(7): 589-592. Go to original source... Go to PubMed...
  7. Admon AJ, Gupta A, Williams M et al. Appraising the evidence supporting Choosing Wisely recommendations. J Hosp Med. 2018; 13 (10): 688-691. Go to original source... Go to PubMed...
  8. Sipilä, R., Mäkelä, M. & Komulainen, J. Highlighting the need for de‑implementation - Choosing Wisely recommendations based on clinical practice guidelines. BMC Health Serv Res 19, 638 (2019). https://doi.org/10.1186/s12913-019-4460-z Go to original source... Go to PubMed...
  9. Gill SS, Mamdani M, Naglie G, Streiner DL, Bronskill SE, Kopp A et al. A prescribing cascade involving cholinesterase inhibitors and anticholinergic drugs. Arch Intern Med 2005;165:808-13. https://doi.org/10.1001/archinte.165. 7. 808 Go to original source...
  10. https://www.amboss.com/de/wissen/DGIM_-_Klug_entscheiden_in_der_Inneren_Medizin
  11. Yazdany J, Schmajuk G, Robbins M, Daikh D, Beall A, Yelin E, Barton J, Carlson A, Margaretten M, Zell J, Gensler LS, Kelly V, Saag K, King C; American College of Rheumatology Core Membership Group. Choosing wisely: the American College of Rheumatology's Top 5 list of things physicians and patients should question. Arthritis Care Res (Hoboken). 2013 Mar; 65(3): 329-39. doi: 10.1002/acr.21930. PMID: 23436818; PMCID: PMC4106486. Go to original source... Go to PubMed...
  12. Choosing Wisely: The Canadian Rheumatology Association's List of 5 Items Physicians and Patients Should Question
  13. Shirley L. Chow, J. Carter Thorne, Mary J. Bell, Robert Ferrari, Zarnaz Bagheri, Tristan Boyd, Ann Marie Colwill, Michelle Jung, Damian Frackowiak, Glen S. Hazlewood, Bindee Kuriya and Peter Tugwell on behalf of the Canadian Rheumatology Association Choosing Wisely Committee The Journal of Rheumatology February 2015, jrheum.141140; DOI: https://doi.org/10.3899/jrheum.141140 Go to original source... Go to PubMed...
  14. https://www.choosingwisely.org/societies/american‑society‑of‑nephrology/




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.