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Don’t perform genetic testing for mutations analysis in the 5,10-Methylene TetraHydrofolate Reductase (MTHFR) gene

Don’t perform genetic testing for mutations analysis in the 5,10-Methylene TetraHydrofolate Reductase (MTHFR) gene

by cristiano | Oct 17, 2018

Since the risk of developing thrombotic events is conferred by the presence of hyperhomocysteinemia, it is considered more useful and valid, from the clinically point of view, consider the value of plasma homocysteine, which is also influenced by several other...
Don’t use bevacizumab for its various oncologic indications.

Don’t use bevacizumab for its various oncologic indications.

by cristiano | Oct 17, 2018

Based on the most recent literature assessing the effectiveness of bevacizumab, the benefit expected from this agent for its various oncologic indications is in the order of a few weeks of survival gained. Since the cost of bevacizumab is high and its incremental...
Don’t use bevacizumab for its various oncologic indications.

Don’t prefer bioresorbable coronary stents over traditional drug-eluting stents.

by cristiano | Oct 17, 2018

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 use bevacizumab for its various oncologic indications.

Don’t prescribe MF-59 adjuvated influenza vaccine in elderly people.

by cristiano | Oct 17, 2018

The population at increased risk for developing influenza is represented by subjects aged ≥65 years or suffering from co-morbidities. However, defining the “place in therapy” of the different types of influenza vaccine is difficult because comparative studies based on...
Don’t use bevacizumab for its various oncologic indications.

Don’t propose any type of palliative chemotherapy in the end-of-life setting.

by cristiano | Oct 17, 2018

The results of numerous prospective clinical studies indicate that chemotherapy administered to patients with metastatic cancer in their last 30 days of life is ineffective and leads, particularly in the last week of life, to an increased utilization of intensive care...
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