Campaign Releases Additional 18 Lists of Medical Tests / Procedures to Question

Seventeen leading medical specialty societies have identified specific tests, procedures or medication therapies they say are commonly ordered, but which are not always necessary—and could cause undue harm. To date, more than 130 tests and procedures to question have been released as part of the Choosing Wisely® campaign, which aims to spark conversations between patients and physicians about what care is really necessary. Each specialty society participating in Choosing Wisely identified five specific tests or procedures that are commonly done in their profession, but whose use should be questioned. In April 2012, nine medical specialty societies each released Choosing Wisely lists. The new lists that focus on medications are included below. For the complete lists, click here. •When prescribing medication for most people age 65 and older with type 2 diabetes, avoid attempting to achieve tight glycemic control. The recommendation states that there is no evidence that using medicine to tightly control blood sugar in older diabetics is beneficial. In fact, using medications to strictly achieve low blood sugar levels is associated with harms, including higher mortality rates. (American Geriatrics Society) •Don’t routinely treat acid reflux in infants with acid suppression therapy. Anti-reflux therapy, which is commonly prescribed in adults, has no demonstrated effect in reducing the symptoms of gastroesophageal reflux disease (GERD) in infants, and there is emerging evidence that it may in fact be harmful in certain situations.(Society of Hospital Medicine)