title: Neurology Choosing Wisely recommendations: 74 and growing.
abstract: To increase neurologist awareness and inform future efficiency efforts, we identified all neurology-related Choosing Wisely items. Items were categorized by neurologic specialty, disease/symptom, and test/treatment. Of 370 items provided by 65 medical societies, 74 (20%) items were relevant to neurologists. Twelve were duplicated by multiple societies. Items pertaining to 10 neurologic subspecialties were identified, but none for movement disorders and neuromuscular disease. While many recommendations question the use of imaging, few address other high-cost neurologic tests such as EMG/nerve conduction studies and EEG. A rapidly growing number of neurology-related Choosing Wisely recommendations exist including areas of consensus and areas with few recommendations despite high costs. Consensus items should be prioritized for near-term interventions, while areas with few recommendations represent opportunities for future research.
authors.affiliation: Health Services Research Program (BCC, LDL, KAK, JFB, LES), Department of Neurology, University of Michigan; and VA Center for Clinical Management Research (BCC, JFB), Ann Arbor, MI.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Callaghan
authors.affiliation: Health Services Research Program (BCC, LDL, KAK, JFB, LES), Department of Neurology, University of Michigan; and VA Center for Clinical Management Research (BCC, JFB), Ann Arbor, MI.
authors.forename: Lindsey B
authors.initials: LB
authors.lastname: De Lott
authors.affiliation: Health Services Research Program (BCC, LDL, KAK, JFB, LES), Department of Neurology, University of Michigan; and VA Center for Clinical Management Research (BCC, JFB), Ann Arbor, MI.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Kerber
authors.affiliation: Health Services Research Program (BCC, LDL, KAK, JFB, LES), Department of Neurology, University of Michigan; and VA Center for Clinical Management Research (BCC, JFB), Ann Arbor, MI.
authors.forename: James F
authors.initials: JF
authors.lastname: Burke
authors.affiliation: Health Services Research Program (BCC, LDL, KAK, JFB, LES), Department of Neurology, University of Michigan; and VA Center for Clinical Management Research (BCC, JFB), Ann Arbor, MI.
authors.forename: Lesli E
authors.initials: LE
authors.lastname: Skolarus