Commonly Over-utilized Procedures (COPs)
Back Pain Imaging
Don't do imaging for low back pain within the first six weeks, unless red flags are present.
Cervical Cancer Screening
Don't perform cervical cancer screening in older women (over 65 years)
Don't routinely do diagnostic testing in patients with chronic urticaria.
Don't perform routine monitoring of digoxin in patients with congestive heart failure.
Brain CT/MRI Headaches
Don't do imaging for uncomplicated headache.
Asthma w/out Spirometry
Don't diagnose or manage asthma without spirometry.
Don't perform hysterectomy for benign disease.
Don't perform electroencephalography (EEG) for headaches.
DXA Bone Density
Don't use dual-energy x-ray absorptiometry (DEXA) screening for osteoporosis in women younger than 65 or men younger than 70 with no risk factors.
Brain CT/MRI Syncopes
In the evaluation of simple syncope and a normal neurological examination, don't obtain brain imaging studies (CT or MRI).
Don't order annual electrocardiograms (EKGs) or any other cardiac screening for low-risk patients without symptoms.
Don't do pap smear for females < 21 or had hysterectomy procedures without a malignant neoplasm diagnosis.
Vitamin D 25 Hydroxy
Don't perform population based screening for 25-OH-Vitamin D deficiency.
Benign Prostatic Hyperplasia
Don’t order creatinine or upper-tract imaging for patients with benign prostatic hyperplasia (BPH).
Pre-existing cervical, thoracic, lumber disease
Don’t use electromyography (EMG) and nerve conduction studies (NCS) to determine the cause of axial lumbar, thoracic or cervical spine pain.
Don't perform prostate cancer screening in men over 75 years.
Don't order sinus computed tomography (CT) or indiscriminately prescribe antibiotics for uncomplicated acute rhinosinusitis.