Choosing wisely: the American College of Rheumatology's Top 5 list of things physicians and patients should question.

ABSTRACT:

Objective

We sought to develop a list of 5 tests, treatments, or services commonly used in rheumatology practice whose necessity or value should be questioned and discussed by physicians and patients.

Methods

We used a multistage process combining consensus methodology and literature reviews to arrive at the American College of Rheumatology's (ACR) Top 5 list. Rheumatologists from diverse practice settings generated items using the Delphi method. Items with high content agreement and perceived high prevalence advanced to a survey of ACR members, who comprise >90% of the US rheumatology workforce. To increase the response rate, a nested random sample of 390 rheumatologists received more intensive survey followup. The samples were combined and weighting procedures were applied

SUBMITTER: Yazdany J 

PROVIDER: S-EPMC4106486 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature