Medical groups call out 90 more over-used, unnecessary treatments

Additions to 'Choosing Wisely' campaign include elective induction of labor or C-section deliveries before 39 weeks

The U.S. healthcare system is stepping up efforts to encourage physicians and patients to choose cost-efficient care. Today, 17 medical specialty societies identified 90 more tests and treatments that they say are overused or inappropriate, bringing the total to 135, the American Board of Internal Medicine announced.

Additions to the "Choosing Wisely" campaign, which pinpoints the major sources of unnecessary care, include:

  • Automatic use of CT scans to evaluate children who visit hospital emergency departments with head injuries: Studies have associated CT scanning with radiation exposure that could significantly increase the risk for cancer. Moreover, researchers recently determined repeat CT scans are unnecessary for patients with mild head trauma if the condition is unchanged or they have improved neurologically.

However, a misalignment between some cost-sharing strategies and evidence-based guidelines has caused physicians and patients to struggle to 'choose wisely' in high-value healthcare, according to an October 2012 article in the Journal of the American Medical Association.

To learn more:
- read the Choosing Wisely announcement (.pdf)
- check out the full list of tests and treatments (.pdf)

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