Don’t encourage the use of defensive medicine practices.
The forensic discipline is involved in academic training, business activities, hospital care, operating freelance, advice to judicial authorities, etc in order to support culture of both clinical appropriateness and scientific evidence as benchmarks for professional...
Don’t prescribe clinical and instrumental tests aimed at the assessment of any disability otherwise already clinically proven.
Avoiding duplication of redundant investigations implies exerting forensics fairly and respectfully towards people with disabilities, preventing them and their relatives from unnecessary inconveniences without clogging up waiting lists with inappropriate prescriptions...
Don’t routinely use cancer-directed therapy for solid tumor patients with low performance status (3 or 4) or progressive after 2-3 therapeutic lines, but prioritize palliative care.
The anticancer treatments in general are likely to be ineffective in patients with solid tumors with the following characteristics: low performance status (3-4), no response to previous evidence-based therapies, not eligibility for a clinical trial, the absence of...
Don’t prescribe antibiotics to prevent infectious complications from neutropenia in cancer patients treated with standard dose chemotherapy.
The most frequent complication of chemotherapy is myelotoxicity with particular reference to the neutropenia. Neutropenia. is a serious cause of impairment of the immune system with the risk of infection, sepsis and septicemia. Normally the relevant pathogens are...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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