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Five Pulmonary Medicine Tests and Procedures That Might Not Be Necessary — Physician’s First Watch

Medical News |
October 29, 2013

Five Pulmonary Medicine Tests and Procedures That Might Not Be Necessary

By Amy Orciari Herman

The American Thoracic Society and the American College of Chest Physicians (ACCP) have released a list of five things in pulmonary medicine that "physicians and patients should question." The list, published as part of the American Board of Internal Medicine's "Choosing Wisely" campaign, advises the following:

  • Don't perform computed tomography (CT) to screen for lung cancer in low-risk patients.

  • Don't use CT to evaluate indeterminate lung nodules more frequently than recommended by current guidelines (e.g., those from the ACCP).

  • Don't regularly prescribe advanced vasoactive agents approved only for pulmonary arterial hypertension to patients with pulmonary hypertension due to left heart disease or hypoxemic lung disease.

  • Don't renew a prescription for supplemental home oxygen for a recently discharged patient without first assessing the patient for ongoing hypoxemia.

  • Don't perform chest CT to evaluate for pulmonary embolism when a patient has a low clinical probability and negative D-dimer test results.

Reader Comments (1)

Louis F. Ricci, B.S., Pharm. D. Other Healthcare Professional, Geriatrics, DRR Consultant services

My interest in what's best for older patients perks my interest in ATC and ACCP's recommendations.

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