Navigation Links
5 Rheumatology Procedures You Might Not Need
Date:3/5/2013

TUESDAY, March 5 (HealthDay News) -- Before agreeing on specific tests, procedures or treatments, rheumatologists and patients need to be aware of the top five that should be questioned, according to a list compiled by the American College of Rheumatology as part of the "Choosing Wisely" campaign.

Led by the American Board of Internal Medicine Foundation, the Choosing Wisely campaign involves more than 35 medical specialty groups and is intended to encourage patients and doctors to discuss appropriate care while avoiding unnecessary tests and treatments. The American College of Rheumatology (ACR) is one of 17 medical societies that recently released advice lists as part of the campaign.

"Rheumatology is a very complex field, and rheumatic conditions can be very difficult to treat," Dr. Kenneth Saag, a professor in the division of clinical immunology and rheumatology at the University of Alabama at Birmingham, said in a university news release.

A rheumatologist is a doctor trained in the diagnosis and treatment of arthritis and other musculoskeletal diseases that affect the joints, muscles and bones.

The ACR's top-five list "offers a strong starting point for evaluation and conversation about providing the most effective care to the more than 50 million Americans with arthritis and rheumatic diseases," said Saag, who was a co-author of the review and heads the ACR's quality of care committee that oversaw the process.

The ACR's list, published recently in the journal Arthritis Care & Research, includes tests and treatments that are commonly ordered or provided by rheumatologists; are among the most expensive services; and have been shown not to provide any meaningful benefit in certain patients.

Here is the ACR's list:

  • Do not test for Lyme disease as a cause of musculoskeletal symptoms without an exposure history and appropriate exam findings. False-positive tests can lead to unnecessary treatment.
  • Do not perform an MRI of the peripheral joints to routinely monitor inflammatory arthritis. Standard X-ray and activity assessments are more cost effective.
  • Do not prescribe biologic drugs for rheumatoid arthritis before a trial of methotrexate or other conventional non-biologic drugs. Many patients respond to standard treatment.
  • Do not repeat Dual-energy X-ray absorptiometry (DEXA) scans more often than once every two years. This screening is done for osteoporosis.
  • Do not perform the blood test known as anti-nuclear antibody (ANA) sub-serologies without a positive ANA and clinical suspicion of immune disease. Broad testing of antibodies should be avoided.

More information

Here's where you can learn more about Choosing Wisely.

-- Robert Preidt

SOURCE: University of Alabama at Birmingham, news release, Feb. 28, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Very low risk of infections in advanced brain procedures
2. Ob-Gyn Group Lists Procedures That May Not Be Needed
3. Jacksonville Periodontist, Dr. Richard E. Aguila, Now Fixes High Gum Lines with Crown Lengthening Procedures for His Florida Patients with Excessive Gums Showing
4. Dr. Robert Barr of Barr Family Dentistry in San Jose, CA Receives Top Reviews for Painless Laser Dental Procedures
5. Instrument handle with integrated electronics facilitates surgical procedures
6. Santa Monica Dermatologist, Dr. Ben Behnam, and Santa Monica Hair Transplant Expert, Dr. Sean Behnam, Launch Their New Websites Focused on Treatment of Acne, Skin Cancer, Laser Procedures and Hair Transplant
7. Leading Melbourne Dentist Launches 100% Renewable Energy Powered Procedures for Cosmetic Dentistry, Implants and Dental Services
8. Mexican Bariatric Surgeon Announces Limited Offer on Specials for Surgical Weight Loss Procedures
9. Doctors call for evidence-based appropriateness criteria for elective procedures
10. Valley Orthopedics Welcomes New Orthopedic Surgeon Specializing in Hip Procedures
11. FDA Clears Laser for all Critical Steps in Cataract Surgery: Center For Sight Performs the Most LENSAR Laser Procedures in U.S.
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
5 Rheumatology Procedures You Might Not Need
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star ... , Millions of individuals in the United States and Canada wear eyeglasses. Once considered ... both correct vision and make a fashion statement. Even celebrities use glasses as a ...
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a ... and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is ... to some of the world’s leading providers of cereal and other breakfast foods. Its ...
(Date:6/26/2016)... North Carolina (PRWEB) , ... June 26, 2016 , ... ... release of a new product that was developed to enhance the health of felines. ... for centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/26/2016)... Birmingham, Lake Orion, Clarkston, Michigan (PRWEB) , ... ... ... their direction with respect to fertility once they have been diagnosed with endometriosis. ... for tolerable intercourse but they also require a comprehensive approach that can help ...
(Date:6/25/2016)... ... ... Austin residents seeking Mohs surgery services, can now turn to Dr. Jessica ... Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include Mohs ... Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn Goldstein, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Mass. , June 24, 2016   Pulmatrix, ... pharmaceutical company developing innovative inhaled drugs, announced today that ... Russell Investments reconstituted its comprehensive set of ... "This is an important milestone for Pulmatrix," ... will increase shareholder awareness of our progress in developing ...
(Date:6/23/2016)... BEVERLY HILLS, Calif. , June 23, 2016 ... faced the many challenges of the current process. Many of ... option because of the technical difficulties and high laboratory costs ... would have to offer it at such a high cost ... to afford it. Dr. Parsa Zadeh , ...
(Date:6/23/2016)... June 23, 2016 Capricor ... ), a biotechnology company focused on the discovery, ... that patient enrollment in its ongoing randomized HOPE-Duchenne ... exceeded 50% of its 24-patient target. Capricor expects ... third quarter of 2016, and to report top ...
Breaking Medicine Technology: