Abstract
Neurosurgeons at Washington University School of Medicine, St Louis, MO, address the proposed utility and negative impact of guidelines proposed by the American Headache Society (AHS), in conjunction with the Choosing Wisely initiative of the American Board of Internal Medicine.
Highlights
Patients with brain tumors may present with isolated headaches in the absence of other neurological symptoms and signs
Neurosurgeons at Washington University School of Medicine, St Louis, MO, address the proposed utility and negative impact of guidelines proposed by the American Headache Society (AHS), in conjunction with the Choosing Wisely initiative of the American Board of Internal Medicine
The Choosing Wisely initiative focuses on reducing health care spending by setting guidelines to limit tests ordered by physicians, and if adopted, the guidelines threaten to negatively impact the care and outcomes of patients with brain tumors
Summary
Patients with brain tumors may present with isolated headaches in the absence of other neurological symptoms and signs. [1] Task Force, “Don’t perform neuroimaging studies in patients with stable headaches that meet criteria for migraine,” is the subject of this neurosurgical perspective. The Choosing Wisely initiative focuses on reducing health care spending by setting guidelines to limit tests ordered by physicians, and if adopted, the guidelines threaten to negatively impact the care and outcomes of patients with brain tumors.
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