The American College of Rheumatology (ACR), along with the American Board of Internal Medicine Foundation and Consumer Reports, released 5 suggestions as part of the Choosing Wisely campaign. Choosing Wisely is an initiative that focuses on encouraging doctors, patients and others involved in health care to consider which medical tests and procedures may be unnecessary, or possibly even harmful.
ACR's 5 Things Doctors and Patients Should Question:
1 - Do not test antinuclear antibody (ANA) subserologies without a positive ANA and clinical suspicion of immune-mediated disease.
2 - Do not test for Lyme disease as a cause of musculoskeletal symptoms without an exposure history and appropriate exam findings.
3 - Do not perform MRI of the peripheral joints to routinely monitor inflammatory arthritis.
4 - Do not prescribe biologics for rheumatoid arthritis before a trial of methotrexate (or other conventional non-biologic disease-modifying anti-rheumatic drug).
5 - Do not routinely repeat DEXA scans more often than once every two years.
For more information about how the list was created and the reason behind each suggestion, read Choosing Wisely, American College of Rheumatology.
- ANA (Antinuclear Antibody) Test
- Facts About Lyme Disease
- Biologics - What Arthritis Patients Should Know
- What Is a DEXA Scan?
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