Don’t perform serum protein electrophoresis nor search of urinary Bence-Jones protein as laboratory test before contrast media administration.
The only real drawback for the administration of contrast media is renal insufficiency. It can be diagnosed measuring serum creatinine (increased) and calculating the glomerular filtration rate (eGFR). These are the only laboratory tests to perform. Patients with...
Do not perform genetic tests and assessment of sperm DNA fragmentation in all male patients with sperm abnormalities.
Genetic testing in patients with impaired seminal parameters and history of couple infertility must be proposed in selected cases. A wide use of such tests represents an inappropriate clinical practice both from a clinical and an economic point of view. The analysis...
Do not measure serum free testosterone in the suspicion of male hypogonadism.
Available immunoassays seem to underestimate testosterone levels and, they are not reliable for free testosterone measurement. The mass spectrometry and equilibrium dialysis are more accurate methodologies. However, they are laboriously, relatively expensive,...
Avoid prescribing routine immunological tests in children with recurrent respiratory infections.
Immunological and genetic investigations are not need when the child is suffering from undifferentiated common viral infections affecting the upper airways and when there is no family history of primary lung diseases or hereditary immunodeficiencies. The decision to...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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