Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Identifying existing Choosing Wisely recommendations of high relevance and importance to hematology. Am J Hematol 2016 08;91(8):787-92

Date

05/07/2016

Pubmed ID

27152483

DOI

10.1002/ajh.24412

Scopus ID

2-s2.0-84978252396   5 Citations

Abstract

Choosing Wisely (CW) is a medical stewardship initiative led by the American Board of Internal Medicine Foundation in collaboration with professional medical societies in the United States. In an effort to learn from and leverage the work of others, the American Society of Hematology CW Task Force developed a method to identify and prioritize CW recommendations from other medical societies of high relevance and importance to patients with blood disorders and their physicians. All 380 CW recommendations were reviewed and assessed for relevance and importance. Relevance was assessed using the MORE(TM) relevance scale. Importance was assessed with regard to six guiding principles: harm avoidance, evidence, aggregate cost, relevance, frequency and impact. Harm avoidance was considered the most important principle. Ten highly relevant and important recommendations were identified from a variety of professional societies. Recommendations focused on decreasing unnecessary imaging, blood work, treatments and transfusions, as well as on increasing collaboration across disciplines and considering value when recommending treatments. Many CW recommendations have relevance beyond the society of origin. The methods developed by the ASH CW Task Force could be easily adapted by other Societies to identify additional CW recommendations of relevance and importance to their fields. Am. J. Hematol. 91:787-792, 2016. © 2016 Wiley Periodicals, Inc.

Author List

Hicks LK, Rajasekhar A, Bering H, Carson KR, Kleinerman J, Kukreti V, Ma A, Mueller BU, O'Brien SH, Panepinto JA, Pasquini MC, Sarode R, Wood WA

Authors

Julie A. Panepinto MD, MSPH Professor in the Pediatrics department at Medical College of Wisconsin
Marcelo C. Pasquini MD, MS Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Health Planning Guidelines
Hematology
Practice Guidelines as Topic
Societies, Medical
United States
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a