title: When Choosing Wisely meets clinical practice guidelines.
abstract: The American Board of Internal Medicine (ABIM) Foundation launched the Choosing Wisely campaign in 2012 and until today convinced more than 50 US specialist societies to develop lists of interventions that may not improve people's health but are potentially harmful. We suggest combining these new efforts with the already existing efforts in clinical practice guideline development. Existing clinical practice guidelines facilitate a more participatory and evidence-based approach to the development of top 5 lists. In return, adding top 5 lists (for overuse and underuse) to existing clinical practice guidelines nicely addresses a neglected dimension to clinical practice guideline development, namely explicit information on which Do or Don't do recommendations are frequently disregarded in practice.
authors.affiliation: Hannover Medical School, CELLS - Centre for Ethics and Law in the Life Sciences, Hannover, Germany. Electronic address: strech.daniel@mh-hannover.de.
authors.forename: Daniel
authors.initials: D
authors.lastname: Strech
authors.affiliation: German Cancer Society, German Guideline Program in Oncology, Berlin, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Follmann
authors.affiliation: Regensburg University of Applied Sciences, Regensburg, Germany.
authors.forename: David
authors.initials: D
authors.lastname: Klemperer
authors.affiliation: Medical advisory service of social health insurance (MDS), Essen, Germany.
authors.forename: Monika
authors.initials: M
authors.lastname: Lelgemann
authors.affiliation: University of Cologne, Institute for Health Economics and Clinical Epidemiology, Cologne, Germany.
authors.forename: Günter
authors.initials: G
authors.lastname: Ollenschläger
authors.affiliation: University of Lübeck, Senior professor for Population Medicine, Lübeck, Germany.
authors.forename: Heiner
authors.initials: H
authors.lastname: Raspe
authors.affiliation: Institute for Medical Knowledge Management, Standing Guideline Commission of the Association of Scientific Medical Societies in Germany (AWMF), Marburg, Germany.
authors.forename: Monika
authors.initials: M
authors.lastname: Nothacker
mesh_terms: D003661:Decision Support Techniques; D019317:Evidence-Based Medicine; D005858:Germany; D019983:Guideline Adherence; D006300:Health Services Misuse; D006302:Health Services Research; D006801:Humans; D008511:Medicine; D012955:Societies, Medical; D014481:United States
keywords: Choosing Wisely; Leitlinien; Unterversorgung; overuse; practice guidelines; underuse; Überversorgung