Evidentiary Rationales for the Choosing Wisely Top 5 Lists

• Catherine Gliwa ^[1] ; Steven D. Pearson ^[1]
  1. [1] National Institutes of Health

     National Institutes of Health

     Estados Unidos

     
• Localización: JAMA: the journal of the American Medical Association, ISSN 0098-7484, Vol. 311, Nº. 14, 2014, págs. 1443-1444
• Idioma: inglés
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  • Texto Completo Ejemplar
• Resumen

  • Aiming to reduce wasteful medical care, the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely initiative asks leading physician specialty societies to create a “Top 5” list of medical services that provide no overall benefit to patients in most situations.1,2 As of August 2013, 25 participating specialty societies had produced 1 or more Top 5 lists containing a total of 135 services.

    The goal of this study was to evaluate the role that evidence on benefits, risks, and costs plays in selecting a service for the Top 5 lists. As Choosing Wisely continues to grow, clarity on the evidentiary justifications for the lists will be crucial for the overall credibility of the campaign.