Recommendations aim to reduce pediatric nephrology testing

 

Evidence-based recommendations for appropriate nephrology testing in children are the latest installment of the American Board of Internal Medicine Foundation’s “Choosing Wisely” campaign.

“Five things physicians and patients should question” were produced for the foundation by the American Academy of Pediatrics and the American Society of Pediatric Nephrology and cover “specific nephrology tests and procedures that are commonly ordered but not always necessary when treating children for kidney-related conditions,” the AAP said.

The list includes recommendations on when not to order screening urine analyses and urine cultures, initiate hypertension workups, and place central lines. “Sometimes parents or physicians want to ensure all available testing is done, but unnecessary testing can create more fear, cost, and risk for children. Good communication and discussion of options can help reduce the likelihood of unnecessary testing,” said Doug Silverstein, MD, chairperson of the AAP section on nephrology.

rfranki@mdedge.com

 

Evidence-based recommendations for appropriate nephrology testing in children are the latest installment of the American Board of Internal Medicine Foundation’s “Choosing Wisely” campaign.

“Five things physicians and patients should question” were produced for the foundation by the American Academy of Pediatrics and the American Society of Pediatric Nephrology and cover “specific nephrology tests and procedures that are commonly ordered but not always necessary when treating children for kidney-related conditions,” the AAP said.

The list includes recommendations on when not to order screening urine analyses and urine cultures, initiate hypertension workups, and place central lines. “Sometimes parents or physicians want to ensure all available testing is done, but unnecessary testing can create more fear, cost, and risk for children. Good communication and discussion of options can help reduce the likelihood of unnecessary testing,” said Doug Silverstein, MD, chairperson of the AAP section on nephrology.

rfranki@mdedge.com

 

Evidence-based recommendations for appropriate nephrology testing in children are the latest installment of the American Board of Internal Medicine Foundation’s “Choosing Wisely” campaign.

“Five things physicians and patients should question” were produced for the foundation by the American Academy of Pediatrics and the American Society of Pediatric Nephrology and cover “specific nephrology tests and procedures that are commonly ordered but not always necessary when treating children for kidney-related conditions,” the AAP said.

The list includes recommendations on when not to order screening urine analyses and urine cultures, initiate hypertension workups, and place central lines. “Sometimes parents or physicians want to ensure all available testing is done, but unnecessary testing can create more fear, cost, and risk for children. Good communication and discussion of options can help reduce the likelihood of unnecessary testing,” said Doug Silverstein, MD, chairperson of the AAP section on nephrology.

rfranki@mdedge.com