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...
Don’t repeat esofagogastroduodenoscopy (EGDS) for a patient that has been diagnosed with a gastroesophageal reflux disease, with or without hiatal hernia, in absence of new symptoms.
A diagnosis of gastroesophageal reflux disease is based on a combination of symptoms, feedback from antisecretory drugs, and diagnostic tests; EGDS allows for the diagnosis and eventual treatment of disease related complications; follow-up EGDS is only needed for...
Don’t perform surveillance colonoscopy for colon polyps after a valid exam, with intervals that vary from those indicated by the responsible gastroenterologist or after histologic evaluation of the polyp.
The need for a surveillance colonoscopy should be based on the results of the first endoscopic assessment and is indicated by evidence based guidelines, which evaluate the relative risk of developing new adenomas or carcinomas. The appropriate interval needs to be...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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