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.
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.