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<p>The Choosing Wisely Initiative (CWI) was founded in 2012 and aims to reduce unnecessary healthcare to promote the common good. The Austrian Society for Endocrinology and Metabolism (ÖGES) and the Institute of General Practice and Evidence-Based Health Services Research at the Medical University of Graz released five Choosing Wisely recommendations in the field of endocrinology. The recommendations presented and discussed in this article are the following: 1.&#xa0;“Thyroid nodules patients should not be treated with L‑thyroxine except in selected cases.” 2.&#xa0;“Avoid excess bone mineral density testing: intervals less than two years are rarely necessary.” 3.&#xa0;“Don’t prescribe testosterone therapy to older men except in confirmed cases of hypogonadism.” 4.&#xa0;“Don’t routinely test for anti-thyroid peroxidase antibodies (TPO-Ab).”5.&#xa0;“Do not routinely request/perform thyroid ultrasound in subjects without signs and/or symptoms of thyroid disease and not belonging to risk groups for thyroid cancer and limit the indication and execution of fine-needle aspirations on low-risk nodules.” Resources unnecessarily consumed in one area of the healthcare system are lacking in others, which is why it is an important ethical responsibility, for the common good, to minimize unnecessary overdiagnosis and overtreatment.</p>

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Choosing Wisely in der Endokrinologie: Zusammenfassung und Diskussion der Top fünf Empfehlungen für Österreich

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月9日

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  • Stefan Pilz,
  • Greisa Vila,
  • Florian Kiefer,
  • Anton Luger,
  • Michael Krebs,
  • Thomas Scherer,
  • Sabina Baumgartner-Parzer,
  • Stefan Riedl,
  • Vinzenz Stepan,
  • Wolfgang Buchinger,
  • Georg Zettinig,
  • Martin Clodi,
  • Harald Sourij,
  • Hans Peter Dimai,
  • Andrea Siebenhofer,
  • Klaus Jeitler,
  • Carolin Zipp,
  • Karl Horvath,
  • Lisa Schmitt,
  • Daniel Arian Kraus,
  • Verena Theiler-Schwetz,
  • Christian Trummer,
  • Uwe Riedmann

摘要

The Choosing Wisely Initiative (CWI) was founded in 2012 and aims to reduce unnecessary healthcare to promote the common good. The Austrian Society for Endocrinology and Metabolism (ÖGES) and the Institute of General Practice and Evidence-Based Health Services Research at the Medical University of Graz released five Choosing Wisely recommendations in the field of endocrinology. The recommendations presented and discussed in this article are the following: 1. “Thyroid nodules patients should not be treated with L‑thyroxine except in selected cases.” 2. “Avoid excess bone mineral density testing: intervals less than two years are rarely necessary.” 3. “Don’t prescribe testosterone therapy to older men except in confirmed cases of hypogonadism.” 4. “Don’t routinely test for anti-thyroid peroxidase antibodies (TPO-Ab).”5. “Do not routinely request/perform thyroid ultrasound in subjects without signs and/or symptoms of thyroid disease and not belonging to risk groups for thyroid cancer and limit the indication and execution of fine-needle aspirations on low-risk nodules.” Resources unnecessarily consumed in one area of the healthcare system are lacking in others, which is why it is an important ethical responsibility, for the common good, to minimize unnecessary overdiagnosis and overtreatment.