Choosing Wisely Canada (CWC) is a campaign to help physicians and patients engage in conversations about unnecessary tests, treatments and procedures, and to help physicians and patients make smart and effective choices to ensure high-quality care.
In collaboration with CWC, experts representing the Canadian Society of Endocrinology and Metabolism have co-developed "Five Things Physicians and Patients Should Question" in the clinical areas of endocrinology and diabetes.
The first 5 recommendations put forward were announced on October 29, 2014 and include the following:
- Don’t recommend routine or multiple daily self-glucose monitoring in adults with stable type 2 diabetes on agents that do not cause hypoglycemia.
- Don’t routinely order a thyroid ultrasound in patients with abnormal thyroid function tests unless there is a palpable abnormality of the thyroid gland.
- Don’t use Free T4 or T3 to screen for hypothyroidism or to monitor and adjust levothyroxine (T4) dose in patients with known primary hypothyroidism.
- Don’t prescribe testosterone therapy unless there is biochemical evidence of testosterone deficiency.
- Don’t routinely test for Anti-Thyroid Peroxidase Antibodies (anti – TPO).