Tests, treatments, and procedures for healthcare providers and consumers to question
Australia's peak health professional colleges, societies and associations have developed lists of recommendations of the tests, treatments, and procedures that healthcare providers and consumers should question.
Each recommendation is based on the latest available evidence. Importantly, they are not prescriptive but are intended as guidance to start a conversation about what is appropriate and necessary.
As each situation is unique, healthcare providers and consumers should use the recommendations to collaboratively formulate an appropriate healthcare plan together.
Australasian Faculty of Rehabilitation MedicineVisit page
- Do not routinely use splinting for prevention and/or management of contractures after stroke.
- Do not use imaging for diagnosing non-specific acute low back pain in the absence of red flags.
- Do not use Mini Mental State Examination as the only tool to assess cognitive deficit in acquired brain injury.
- Do not prescribe spinal orthotics or bed rest for patients with non-specific low back pain.
- Do not discharge patients with osteoporotic fractures without an assessment and/or treatment for osteoporosis.
A working group within AFRM initially identified 10 recommendations on low value practices in the field of rehabilitation medicine that may be widespread in Australia and New Zealand. Following a review of the evidence these were reduced to seven. An online survey based on these seven recommendations was distributed to all AFRM members asking them to rate these recommendations based on whether they thought they were evidence based, whether the low-value practices targeted were still being undertaken in significant numbers, and whether the recommendation was important in terms of reducing harm and unnecessary costs to patients. The working group reviewed the feedback and finalised the ‘top 5’ recommendations which were approved by AFRM Executive in mid-2017.