Müller O J, Sternitzky R
Innere Medizin III, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Heidelberg/Mannheim, Heidelberg, Deutschland.
Internist (Berl). 2017 Jun;58(6):532-538. doi: 10.1007/s00108-017-0252-x.
The Choosing wisely initiative addresses measures of high medical impact which are frequently not appropriately performed according to expert opinion.
To increase the quality of indications by providing supportive information on diagnostic and therapeutic measures in the field of angiology.
As part of the Choosing wisely initiative, the German Society of Angiology has constructed five positive recommendations on underused measures and five negative recommendations concerning those possibly overused. The recommendations were validated by the twelve professional societies of the German Society of Internal Medicine in a consensus conference.
The recommendations cover a broad spectrum of diagnostic and therapeutic modalities, such as the role of ultrasound examinations in vascular diseases, screening for abdominal aortic aneurysms, diagnosis and therapy of peripheral artery disease (PAD), investigation of chronic ulcers, therapy of varicosis, and finally, the problems associated with using anticoagulants in PAD or thrombosis. By discussing the evidence, we aim to demonstrate that not all medically possible measures are actually appropriate in every situation.
明智选择倡议涉及具有高度医学影响的措施，而根据专家意见，这些措施常常未得到恰当实施。
通过提供血管病领域诊断和治疗措施的支持性信息，提高适应症的质量。
作为明智选择倡议的一部分，德国血管病学会针对未充分利用的措施制定了五项积极建议，并针对可能过度使用的措施制定了五项消极建议。这些建议在一次共识会议上由德国内科医学协会的十二个专业学会进行了验证。
这些建议涵盖了广泛的诊断和治疗方式，如超声检查在血管疾病中的作用、腹主动脉瘤筛查、外周动脉疾病（PAD）的诊断和治疗、慢性溃疡的检查、静脉曲张的治疗，以及最后，PAD或血栓形成中使用抗凝剂相关的问题。通过讨论证据，我们旨在证明并非所有医学上可行的措施在每种情况下实际上都是合适的。
