[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-499905-105":59,"doc-detail-499905-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","choosing-wisely-five-things-physicians-and-patients-should-question","Choosing Wisely - Five Things Physiciansand Patients Should Question","","This list outlines five evidence-based “Choosing Wisely” recommendations from the American Academy of Allergy, Asthma & Immunology aimed at reducing low-value allergy and asthma-related care. It advises against unproven diagnostic testing such as IgG/indiscriminate IgE panels, routine sinus CT and unnecessary antibiotics in uncomplicated acute rhinosinusitis, extensive chronic urticaria testing, unnecessary immunoglobulin replacement, and asthma diagnosis or management without spirometry. It emphasizes clinical history, targeted testing, cost-effective patient-centered decision-making, and appropriate follow-up, with care decisions guided by professionals.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/choosing-wisely-five-things-physicians-and-patients-should-question/499905/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/choosing-wisely-five-things-physicians-and-patients-should-question/499905.png","ImageObject",300,407,{"name":92,"@type":93},"Jordan Avery","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why should clinicians avoid unproven allergy diagnostic tests such as IgG or indiscriminate IgE panels?","Question",{"text":113,"@type":114},"These tests are unproven for allergy evaluation and can lead to inappropriate diagnosis and treatment. Appropriate allergy care depends on specific IgE testing selected based on the patient’s clinical history.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the recommended approach to imaging and antibiotics for uncomplicated acute rhinosinusitis?",{"text":118,"@type":114},"Most cases are viral, resolve without treatment in about two weeks, and are generally diagnosed clinically. Sinus CT and indiscriminate antibiotics are not required, and antibiotics are reserved for selected patients; when used, amoxicillin is first-line.",{"name":120,"@type":111,"acceptedAnswer":121},"How should asthma be diagnosed and managed according to the list?",{"text":122,"@type":114},"Asthma diagnosis and management should not rely on symptoms alone. Spirometry is essential when feasible to confirm diagnosis and to help stratify severity and monitor control.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},499905,1791195112,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},1099523882367,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","American Academy of Allergy, Asthma & Immunology  \nFive Things Physiciansand Patients Should Question  \n 1   \n 2   \n 3   \n 4   \n 5   \nDon’t perform unproven diagnostic tests, such as immunoglobulin G (IgG) testing or an indiscriminate battery of immunoglobulin E (IgE) tests, in the evaluation of allergy.  \nAppropriate diagnosis and treatment of allergies requires specific IgE testing (either skin or blood tests) based on the patient’s clinical history. The use of other tests or methods to diagnose allergies is unproven and can lead to inappropriate diagnosis and treatment. Appropriate diagnosis and treatment is both cost e􀀞ective and essential for optimal patient care.  \nDon’t order sinus computed tomography (CT) or indiscriminately prescribe antibiotics for uncomplicated acute rhinosinusitis.  \nViral infections cause the majority of acute rhinosinusitis and only 0.5 percent to 2 percent progress to bacterial infections. Most acute rhinosinusitis resolves without treatment in two weeks. Uncomplicated acute rhinosinusitis is generally diagnosed clinically and does not require a sinus CT scan or other imaging. Antibiotics are not recommended for patients with uncomplicated acute rhinosinusitis who have mild illness and assurance of follow-up. If a decision is made to treat, amoxicillin should be first-line antibiotic treatment for most acute rhinosinsutis.  \nDon’t routinely do diagnostic testing in patients with chronic urticaria.  \nIn the overwhelming majority of patients with chronic urticaria, a definite etiology is not identified. Limited laboratory testing may be warranted to exclude underlying causes. Targeted laboratory testing based on clinical suspicion is appropriate. Routine extensive testing is neither cost e􀀞ective nor associated with improved clinical outcomes. Skin or serum-specific IgE testing for inhalants or foods is not indicated, unless there is a clear history implicating an allergen as a provoking or perpetuating factor for urticaria.  \nDon’t recommend replacement immunoglobulin therapy for recurrent infections unless impaired antibody responses to vaccines are demonstrated.  \nImmunoglobulin (gammaglobulin) replacement is expensive and does not improve outcomes unless there is impairment of antigen-specific IgG antibody responses to vaccine immunizations or natural infections. Low levels of immunoglobulins (isotypes or subclasses), without impaired antigen-specific IgG antibody responses, do not indicate a need for immunoglobulin replacement therapy. Exceptions include IgG levels \u003C150mg/ dl and genetically defined/suspected disorders. Measurement of IgG subclasses is not routinely useful in determining the need for immunoglobulin therapy. Selective IgA deficiency is not an indication for administration of immunoglobulin.  \nDon’t diagnose or manage asthma without spirometry.  \nClinicians often rely solely upon symptoms when diagnosing and managing asthma, but these symptoms may be misleading and be from alternate causes. Therefore spirometry is essential to confirm the diagnosis in those patients who can perform this procedure. Recent guidelines highlightspirometry’s value in stratifying disease severity and monitoring control. History and physical exam alone may over-or under-estimate asthma control. Beyond the increased costs of care, repercussions of misdiagnosing asthma include delaying a correct diagnosis and treatment.  \nThese items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.  \nHow This List Was Created  \nThe American Academy of Allergy, Asthma & Immunology (AAAAI) Executive Committee created a task force to lead work on Choosing Wisely consisting of board members, the AAAAI President and Secretary/Treasurer and AAAAI participants in the Joint Task Force on Practice Parameters. Through multiple society ","cbCaimPn7rPf9R3S","https://ap.wps.com/l/cbCaimPn7rPf9R3S","pdf",1652049,56,"English","# Five recommendations\n## Avoid unproven allergy diagnostic tests\n## Avoid CT and indiscriminate antibiotics for uncomplicated rhinosinusitis\n## Avoid routine extensive testing for chronic urticaria\n## Avoid immunoglobulin replacement for recurrent infections without demonstrated impaired vaccine responses\n## Diagnose and manage asthma using spirometry\n# How this list was created\n## Task force, feedback, ranking, and approval","[{\"question\":\"Why should clinicians avoid unproven allergy diagnostic tests such as IgG or indiscriminate IgE panels?\",\"answer\":\"These tests are unproven for allergy evaluation and can lead to inappropriate diagnosis and treatment. Appropriate allergy care depends on specific IgE testing selected based on the patient’s clinical history.\"},{\"question\":\"What is the recommended approach to imaging and antibiotics for uncomplicated acute rhinosinusitis?\",\"answer\":\"Most cases are viral, resolve without treatment in about two weeks, and are generally diagnosed clinically. Sinus CT and indiscriminate antibiotics are not required, and antibiotics are reserved for selected patients; when used, amoxicillin is first-line.\"},{\"question\":\"How should asthma be diagnosed and managed according to the list?\",\"answer\":\"Asthma diagnosis and management should not rely on symptoms alone. Spirometry is essential when feasible to confirm diagnosis and to help stratify severity and monitor control.\"}]","Choosing Wisely - Five Things Physiciansand Patients Should Question | PDF",1791007385,141]