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

sary 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


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