Choosing Wisely is a national initiative that aims to identify unnecessary or overused medical tests and procedures. We’ve written about Choosing Wisely twice before on this blog and applaud its mission to help patients and physicians choose medical care based on sound evidence. The campaign continues to garner support as medical specialty organizations seek to promote evidence-based care and educate patients about procedures they should question with their physicians.
In November 2013, the campaign released its latest list, compiled by the American Headache Society, of the 5 things patients and physicians should question:
- Don’t perform neuroimaging studies in patients with stable headaches that meet criteria for migraine.
- Don’t perform computed tomography (CT) imaging for headache when magnetic resonance imaging (MRI) is available, except in emergency settings.
- Don’t recommend surgical deactivation of migraine trigger points outside of a clinical trial.
- Don’t prescribe medications that contain opioids or butalbital as first-line treatment for recurrent headache disorders.
- Don’t recommend prolonged or frequent use of over-the-counter (OTC) pain medications for headache.
This list and all previous lists are available as free downloads at the Choosing Wisely website. These evidence-based recommendations will help patients and their physicians to make wise decisions about their healthcare.