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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Pilz, S; Vila, G; Kiefer, F; Luger, A; Krebs, M; Scherer, T; Baumgartner-Parzer, S; Riedl, S; Stepan, V; Buchinger, W; Zettinig, G; Clodi, M; Sourij, H; Dimai, HP; Siebenhofer, A; Jeitler, K; Zipp, C; Horvath, K; Schmitt, L; Kraus, DA; Theiler-Schwetz, V; Trummer, C; Riedmann, U.
Choosing Wisely in endocrinology: summary and discussion of the top five recommendations for Austria
J ENDOKRINOL DIAB ST. 2025; Doi: 10.1007/s41969-025-00292-4
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Führende Autor*innen der Med Uni Graz
Pilz Stefan
Co-Autor*innen der Med Uni Graz
Dimai Hans Peter
Horvath Karl
Jeitler Klaus
Kraus Daniel Arian
Riedmann Uwe
Schmitt Lisa Maria
Siebenhofer-Kroitzsch Andrea
Sourij Harald
Stepan Vinzenz
Theiler-Schwetz Verena
Trummer Christian
Zipp Carolin Rosanne
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Abstract:
The Choosing Wisely Initiative (CWI) was founded in 2012 and aims to reduce unnecessary healthcare to promote the common good. The Austrian Society for Endocrinology and Metabolism (& Ouml;GES) and the Institute of General Practice and Evidence-Based Health Services Research at the Medical University of Graz released five Choosing Wisely recommendations in the field of endocrinology. The recommendations presented and discussed in this article are the following: 1. "Thyroid nodules patients should not be treated with L-thyroxine except in selected cases." 2. "Avoid excess bone mineral density testing: intervals less than two years are rarely necessary." 3. "Don't prescribe testosterone therapy to older men except in confirmed cases of hypogonadism." 4. "Don't routinely test for anti-thyroid peroxidase antibodies (TPO-Ab)."5. "Do not routinely request/perform thyroid ultrasound in subjects without signs and/or symptoms of thyroid disease and not belonging to risk groups for thyroid cancer and limit the indication and execution of fine-needle aspirations on low-risk nodules." Resources unnecessarily consumed in one area of the healthcare system are lacking in others, which is why it is an important ethical responsibility, for the common good, to minimize unnecessary overdiagnosis and overtreatment.

Find related publications in this database (Keywords)
Choosing Wisely
Endocrinology
Thyroid
Testosterone
Endocrinology
Thyroid
Testosterone
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