Top 10 Procedures to Question

American Academy of Physicians' Top 10 Procedures to Question: 

1. Imaging for low back pain within the first six weeks, with no red flags

2. Routine antibiotics for acute mild-to-moderate sinusitis, unless symptoms last longer than seven days or symptoms get worse

3. Dual energy X-ray absorptiometry (DEXA) screening for osteoporosis in women under 65 or men under 70 with no risk factors

4. Annual electrocardiograms (EKGs) or cardiac screening for low-risk patients without symptoms

5. Pap smears for women under 21 or who have had a hysterectomy for non-cancer disease

6. Elective, non-medically indicated labor inductions or C-section before 39 weeks 

7. Elective, non-medically indicated labor inductions between 39 and 41 weeks, unless the cervix is favorable 

8. Screening for carotid artery stenosis in asymptomatic adults

9. Screening women over 65 for cervical cancer who have had adequate prior screening and are not at high risk

10. Screening women under 30 for cervical cancer with HPV testing, alone or with cytology

Source: American Academy of Physicians, Choose Wisely Initiative

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