Only opt for chronic dialysis after a decision-making process has been conducted jointly with patients, their families, and their family physicians.
Hemodialysis is a challenging treatment, not only for patients, but also for their families. Adult patients’ continuous absences from work, and pediatric patients’ absences from school are already an important factor limiting their normal life. For elderly patients,...
Don’t prefer bioresorbable coronary stents over traditional drug-eluting stents.
The recent development of bioresorbable coronary stents (Bioresorbable Vascular Scaffolds, BVS) represent a promising therapeutic option as compared with traditional drug-eluting stents (DES). However, based on the most recent evidence currently available, BVS (the...
Don’t initiate or prolong artificial nutrition (enteral or parenteral) in late stage cancer patients with a life expectancy of less than a few weeks and a Performance Status <50.
Currently, there is no evidence from observational or experimental studies showing the effectiveness, in terms of increased survival or improved quality of life, of administering artificial nutrition to end-stage cancer patients with limited life-expectancy and poor...
Do not prescribe nutraceuticals in all male patients with sperm abnormalities.
Antioxidants and/or nutraceuticals are widely used in andrological clinical practice, as an empirical treatment for male infertility. There is no evidence of efficacy to treat infertility related to other disorders, whereas weak evidence of efficacy in the treatment...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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