The New York Times
(4/4, A10, Rabin, Subscription Publication) reports, "In a move likely
to alter treatment standards in hospitals and doctors' offices
nationwide, a group of nine medical specialty boards plans to recommend
on Wednesday that doctors perform 45 common tests and procedures less
often, and to urge patients to question these services if they are
offered." For instance, "the American College of Cardiology is urging
heart specialists not to perform routine stress cardiac imaging in
asymptomatic patients, and the American College
of Radiology is telling radiologists not to run imaging scans on
patients suffering from simple headaches." Meanwhile, "the American
Gastroenterological Association is urging its physicians to prescribe
the lowest doses of medication needed to control acid reflux disease."
The AP
(4/4) reports, "The American Society of Nephrology said dialysis
patients with limited life expectancies...and no signs or symptoms of
cancer shouldn't get routine cancer screening, including mammograms,
colonoscopies, Pap smears and PSA tests." The AP adds, "The American
Society of Clinical Oncology, which is meeting in Chicago this week,
recommended against using advanced imaging technologies such as PET, CT
and radionuclide scans to determine cancer spread in patients with
early-stage breast cancer and prostate cancer that is at
low risk of metastasizing."
The Washington Post
(4/4, Vastag) "The Checkup" blog reports that the new campaign, called
new "Choosing Wisely," seeks "to get doctors and patients talking about
these 45 procedures to achieve 'better decision making.'" The blog
adds that "the entire list of 45 (often) unnecessary tests and
procedures is online at choosingwisely.org ." The Hill (4/4, Pecquet) "Healthwatch" blog also covers the story.
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