TY - JOUR
T1 - Position paper ANMCO
T2 - Choosing Wisely – le proposte dell’ANMCO nel 2023
AU - Lucà, Fabiana
AU - Gulizia, Michele Massimo
AU - Abrignani, Maurizio Giuseppe
AU - Benedetto, Francesco Antonio
AU - Bisceglia, Irma
AU - Bisignani, Giovanni
AU - Bobbio, Marco Carlo
AU - Caldarola, Pasquale
AU - Canale, Maria Laura
AU - Caretta, Giorgio
AU - Ceravolo, Roberto
AU - Chimenti, Cristina
AU - Ciconte, Vincenzo Antonio
AU - Corda, Marco
AU - Cornara, Stefano
AU - Di Fusco, Stefania Angela
AU - Di Matteo, Irene
AU - Di Nora, Concetta
AU - Favilli, Silvia
AU - Francese, Giuseppina Maura
AU - Gelsomino, Sandro
AU - Gensini, Gian Franco
AU - Giubilato, Simona
AU - Grimaldi, Massimo
AU - Nardi, Federico
AU - Navazio, Alessandro
AU - Parrini, Iris
AU - Pilleri, Annarita
AU - Pozzi, Andrea
AU - Rao, Carmelo Massimiliano
AU - Riccio, Carmine
AU - Rossini, Roberta
AU - Vernero, Sandra
AU - Gabrielli, Domenico
AU - Oliva, Fabrizio
AU - Colivicchi, Furio
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Nowadays, a progressive and exponential increase in the use of invasive and non-invasive instrumental diagnostics and therapeutic services has been shown. Although unnecessary, instrumental examinations are often largely prescribed, replacing clinical evaluation. Their correct use, on the contrary, would address precise epidemiological and clinical contexts. Therefore identifying whether a test or procedure is appropriate or not plays a crucial role in clinical practice. Several documents from scientific societies and expert groups indicate the most appropriate cardiovascular diagnostic and therapeutic procedures. The international Choosing Wisely campaign invited the main scientific societies to identify five techniques or treatments used in their field that are often unnecessary and may potentially damage patients. The Italian Association of Hospital Cardiologists (ANMCO) joined the project identifying the five cardiological practices in our country at greater risk of inappropriateness in 2014. This list has recently been updated. Moreover, possible solutions to this problem have been proposed.
AB - Nowadays, a progressive and exponential increase in the use of invasive and non-invasive instrumental diagnostics and therapeutic services has been shown. Although unnecessary, instrumental examinations are often largely prescribed, replacing clinical evaluation. Their correct use, on the contrary, would address precise epidemiological and clinical contexts. Therefore identifying whether a test or procedure is appropriate or not plays a crucial role in clinical practice. Several documents from scientific societies and expert groups indicate the most appropriate cardiovascular diagnostic and therapeutic procedures. The international Choosing Wisely campaign invited the main scientific societies to identify five techniques or treatments used in their field that are often unnecessary and may potentially damage patients. The Italian Association of Hospital Cardiologists (ANMCO) joined the project identifying the five cardiological practices in our country at greater risk of inappropriateness in 2014. This list has recently been updated. Moreover, possible solutions to this problem have been proposed.
KW - Appropriateness
KW - Choosing Wisely campaign
KW - Inappropriateness
KW - Overprescription
KW - APPROPRIATE USE CRITERIA
KW - CORONARY-ARTERY-DISEASE
KW - COLLEGE-OF-CARDIOLOGY
KW - EMISSION COMPUTED-TOMOGRAPHY
KW - AMERICAN-HEART-ASSOCIATION
KW - MYOCARDIAL-PERFUSION
KW - CARDIOVASCULAR ANGIOGRAPHY
KW - CONSENSUS DOCUMENT
KW - TASK-FORCE
KW - EXERCISE ELECTROCARDIOGRAPHY
U2 - 10.1714/4084.40686
DO - 10.1714/4084.40686
M3 - Article
SN - 1827-6806
VL - 24
SP - 754
EP - 765
JO - Giornale Italiano di Cardiologia
JF - Giornale Italiano di Cardiologia
IS - 9
ER -