The French Society of Internal Medicine ’s Top-5 List of Recommendations: a National Web-Based Survey

AbstractBackgroundThe international project “Choosing Wisely” aims to target unnecessary and potentially harmful examinations and treatments.ObjectiveTo define the French Internal Medicine Top-5 list.DesignBased on a review of existing Top-5 lists and personal experience, a working group of the French National Society of Internal Medicine selected 27 diagnostic and therapeutic procedures. They were submitted through a national web-based survey to French internists who rated from 1 to 5 the perceived frequency, uselessness, and risk of each procedure. A composite score was calculated as the unweighted addition of the three scores.ParticipantsFour hundred thirty internists answered the web-based survey (14% of all French internists including residents). All the French regions and status of the profession were represented.Key ResultsFor the 27 submitted procedures, the mean score ( ± SD) was 3.25 (± 0.48) for frequency, 3.10 (± 0.43) for uselessness, and 2.63 (± 0.84) for risk.The Top-5 list obtained with the composite score was as follows:Do not prescribe long-term treatment with proton pump inhibitors without regular reevaluation of the indicationDo not administer preventive treatments (e.g., for dyslipidemia, hypertension …) in elderly people with dementia when potential risks outweigh the benefitsDo not administer hypnotic medications as first-line treatment for insomniaDo not treat with an anticoagulant for...
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research

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