Do not prescribe endoscopic examination when low-waste, less invasive alternatives endorsed by evidence-based clinical guidelines are available.
Less invasive tests approved by regulatory agencies as alternatives to gastrointestinal endoscopy are: fecal calprotectin in monitoring patients with inflammatory bowel diseases and in chronic diarrhea; C-13 urea breath test and stool antigen test in diagnosis of...
Do not plan most elective endoscopic procedures on an inpatient basis if they can be performed safely without hospitalization, to avoid overnight hospital stays.
Hospitalization for a procedure incurs high resource consumption and CO2 emissions and is associated with the risk of hospital-acquired infections. Several reports support that most elective GI endoscopic procedures should be performed safely on an outpatient basis,...
Do not perform food intolerance tests except for those scientifically validated
The only validated diagnostic test is lactose breath-test for lactose intolerance. Others test such as VEGA-test, Cytotoxic test, serum specific IgG4 determination, hair analysis, intestinal permeability, salivary IgA, “bioresonance” techniques, fecal microbial...
Do not request surveillance colonoscopy for asymptomatic colonic diverticular disease without changes in symptoms
The term merely identifies presence of diverticula in the colon, characterized by a favorable course and, generally, absence of symptoms. Colonoscopy is not indicated in patients with asymptomatic colonic diverticulosis and in patients with symptomatic uncomplicated...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
Recent Comments