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Official Journal of the Society to Improve Diagnosis in Medicine (SIDM)

Editor-in-Chief: Graber, Mark L. / Plebani, Mario

Ed. by Argy, Nicolas / Epner, Paul L. / Lippi, Giuseppe / McDonald, Kathryn / Singh, Hardeep

Editorial Board: Basso , Daniela / Crock, Carmel / Croskerry, Pat / Dhaliwal, Gurpreet / Ely, John / Giannitsis, Evangelos / Katus, Hugo A. / Laposata, Michael / Lyratzopoulos, Yoryos / Maude, Jason / Newman-Toker, David / Singhal, Geeta / Sittig, Dean F. / Sonntag, Oswald / Zwaan, Laura

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The Choosing Wisely campaign – don’t throw the baby out with the bathwater

Mario PlebaniORCID iD: http://orcid.org/0000-0002-0270-1711 / Maria Laura Chiozza / Domenico Scibetta
Published Online: 2016-03-04 | DOI: https://doi.org/10.1515/dx-2016-0006


The goal of the Choosing Wisely campaign launched in 2009 by the American Board of Internal Medicine (ABIM) Foundation is to promote dialog on avoiding wasteful or unnecessary medical tests, treatments and procedures. Originating in 2009, the Choosing Wisely initiative involved three primary care specialties in a project aiming to develop “Top Five” lists, which were to be “specialty-specific enumerations of achievable practice changes to improve patient health through better treatment choices, reduced risks and reduced costs. The initiative soon became global, many specialty societies outside the US joining. Some time later, however, data collected demonstrated that a reduction had been achieved only for a few low-value tests and procedures, thus highlighting the need for a more evidence-based approach for identifying low-value practices and for evaluating the efficacy of this initiative over time.

Keywords: Choosing Wisely; costs; evidence-based medicine; health care; low-value practices; quality


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About the article

Corresponding author: Mario Plebani, Department of Laboratory Medicine, University-Hospital, Padova-Italy, Via Giustiniani 2, 35128 Padova, Italy, Phone/Fax: +39049663240, E-mail: .

Received: 2016-02-01

Accepted: 2016-02-22

Published Online: 2016-03-04

Published in Print: 2016-03-01

Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

Citation Information: Diagnosis, Volume 3, Issue 1, Pages 13–16, ISSN (Online) 2194-802X, ISSN (Print) 2194-8011, DOI: https://doi.org/10.1515/dx-2016-0006.

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