Do not perform surveillance colonoscopy for colon polyps after a valid exam with intervals that vary from those indicated by the responsible gastroenterologist after histologic evaluation of the polyp.
The timing of surveillance colonoscopies is determined by the findings of the initial endoscopic examination and is guided by evidence-based guidelines that assess the relative risk of developing new adenomas or carcinomas. The most appropriate interval should be...
Prescribe fecal occult blood test (FOBT) only for screening of colorectal cancer.
FOBT is a screening test, intended for asymptomatic individuals who fall within the risk group defined by the national or regional screening program. It is not a diagnostic test and therefore should not be performed in individuals presenting with signs or symptoms...
Do not teach or have patients with acute or chronic respiratory diseases practice diaphragmatic breathing.
There are very limited evidences regarding the benefit of diaphragmatic breathing administered in order to improve the distribution of ventilation by reducing energy consumption, decrease dyspnea and increase exercise capacity. On the other hand, it has been shown...
Do not use ultrasound therapy for rotator cuff tendinopathy, ankle sprains and low back pain.
Some reviews show the ineffectiveness of therapeutic ultrasound in the treatment of these disorders. Its therapeutic efficacy on pain or functionality is not superior to placebo in rotator cuff tendinopathy, while in ankle sprains the effect is clinically negligible,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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