Don’t require a pelvic exam or other physical exam to prescribe oral contraceptive medications.
Hormonal contraceptives are safe, effective and well-tolerated for most women. Data do not support the necessity of performing a pelvic or breast examination to prescribe oral contraceptive medications. Hormonal contraception can be safely provided on the basis of...
Don’t use continous cardiotocography (CTG) during labour of women at low risk for hypoxia.
Continous cardiotocography (CTG) during labour is commonly used in Italy; intermittent auscultation should be used instead unless risk factors for fetal hypoxia are identified. According to evidence its routine use could expose women to harmful effects, for example a...
Don’t prescribe screenings for diabetes complications that are not in accordance with the national guidelines.
Diabetic retinopathy In the absence of diabetic retinopathy, don’t repeat the Fundus Oculi test following diagnosis (the first Fundus Oculi has diversified frequency for type 1 Diabetes and for type 2) more frequently than once every two years. If the retinopathy is...
Do not repeat esophagogastroduodenoscopy (EGD) in patients diagnosed with gastroesophageal reflux disease (GERD), unless the examination is part of the follow-up of precancerous epithelial conditions (Barrett’s esophagus) or in the event of new alarm symptoms.
Endoscopy in gastroesophageal reflux disease (GERD) should be reserved for patients who do not respond to an 8-week course of empirical therapy with proton pump inhibitors, for patients with extraesophageal symptoms that do not respond to therapy, for those presenting...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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