High value care for everyone by making well-informed decisions: should we perform a test, treatment or procedure or should we refrain from these?

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General practitioner


The use of opioids in the treatment of chronic pain has dramatically increased over the past years. Although the effe...

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General practitioner

Antibiotics for urinary tract infections

In daily practice, uncomplicated urinary tract infections are often treated with antibiotics. While the infection hea...

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Urinary catheters in the OR

Urinary catheters are placed regularly after pituitary and spondylodesis operations, without medical necessity. Urina...

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Nursing, Primary care

Appropriate prescribing

During the last phase of life, the use of preventive medication is no longer useful. Continuation of this medication ...

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Auscultation of feeding tube

Auscultation is still used to check the position of a feeding tube often, although this ineffective and unsafe. Measu...

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Orthopedics, Primary care

Referrals for degenerative knee complaints

Degenerative knee complaints without any alarming symptoms should be treated by the General Practitioner conservative...

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Surgical treatment of a rupture of the Achilles tendon

In patients with Achilles tendon rupture, surgical treatment is often chosen, while not operating gives equally good ...

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Gynaecologic oncology

Follow-up for endometrial carcinoma

The routine search for recurrences or metastases in asymptomatic patients with an endometrial carcinoma does not prov...

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Neurologie, Neurology, Neurosurgery, Primary care

Surgery for spinal disc herniation

Surgery for patients with lower back hernias is not always indicated, since a subset of patients will recover without...

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