Don’t use the bladder catheterization if not expressly recommended. If necessary, follow the guidelines as far as the choice of the devices, the insertion procedure, the management, the early removal and patient education are concerned.
The practice of bladder catheterization appears to be, long since, among the most prevalent in health facilities – including private hospitals and home care – thus resulting in a procedure with a significant transversal scope.An improper indication and...
Limit the use of diagnostic procedures in case of low-risk prostate and breast cancer. Avoid the use of serum biomarkers in early stage breast cancer.
Proper staging is crucial in cancer patients. However, in specific clinical settings such a low-risk breast and prostate cancer, a complete staging work-out can be avoided. Inappropriate diagnostic procedures may increase costs and delay meaningful treatments such as...
Do not use, to the extent possible, prolonged radiation therapy for palliative treatments in frail patients with a short life expectancy
Several clinical studies showed that a prolonged treatment regimen including radiotherapy and/or chemotherapy does not provide any survival benefit in cancer patients having a short life expectancy. However, radiotherapy plays a crucial role in providing patients with...
Do not neglect to offer radiotherapy delivered with hypofractionated schedules when the scientific evidence is already available.
Several clinical studies reported that moderately hypofractionated radiation therapy (reducing the total number of fractions with daily fraction >2Gy) may be as effective as conventional fractionation in selected subgroups of patients affected by early stage breast...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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