The American Academy of Neurology's Top Five Choosing Wisely recommendations

Résumé fourni par la source

Objective: To discuss the American Academy of Neurology (AAN)9s Top Five Recommendations in the Choosing Wisely campaign promoting high-value neurologic medicine and physician–patient communication. The AAN published its Top Five Recommendations in February 2013 in collaboration with the American Board of Internal Medicine Foundation and Consumer Reports . Methods: A Choosing Wisely Working Group of 10 AAN members was formed to oversee the process and craft the evidence-based recommendations. AAN members were solicited for recommendations, the recommendations were sent out for external review, and the Working Group members (article authors) used a modified Delphi process to select their Top Five Recommendations. Results and recommendations: The Working Group submitted 5 neurologic recommendations to the AAN Practice Committee and Board of Directors; all 5 were approved by both entities in September 2012. Recommendation 1: Don9t perform EEGs for headaches. Recommendation 2: Don9t perform imaging of the carotid arteries for simple syncope without other neurologic symptoms. Recommendation 3: Don9t use opioids or butalbital for treatment of migraine, except as a last resort. Recommendation 4: Don9t prescribe interferon-β or glatiramer acetate to patients with disability from progressive, nonrelapsing forms of multiple sclerosis. Recommendation 5: Don9t recommend carotid endarterectomy for asymptomatic carotid stenosis unless the complication rate is low (

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.