Evidence map›Paper›PMID 27804077›Full record

ArticleInternal and emergency medicine2016

The Italian Society of Internal Medicine choosing wisely campaign.

Nicola Montano, Giorgio Costantino, Giovanni Casazza, Rodolfo Sbrojavacca, Marco Vincenzo Lenti, Lorenzo Falsetti, Annasanta Guzzo, Raffaele Majo, Francesco Perticone, Gino Roberto Corazza

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In one paragraph

Article in Internal and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  9. UEG Week 2019 Poster Presentations.United European gastroenterology journal · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Nicola MontanoFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Via F. Sforza 35, Milano, Italy. Nicola.Montano@unimi.it.
Giorgio CostantinoFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Via F. Sforza 35, Milano, Italy.
Giovanni CasazzaDipartimento di Scienze Biomediche e Cliniche "L. Sacco", Università degli Studi di Milano, Milano, Italy.
Rodolfo SbrojavaccaDepartment of Emergency, Ospedale Civile di Udine, Udine, Italy.
Marco Vincenzo LentiFirst Department of Internal Medicine, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Lorenzo FalsettiInternal and Sub-intensive Medicine Department, A.O.U. "Ospedali Riuniti", Ancona, Italy.
Annasanta GuzzoAzienda Policlinico Umberto 1°, Sapienza Università di Roma, Rome, Italy.
Raffaele MajoUnit of Cardiovascular Diseases, Azienda Ospedaliera Mater Domini, Catanzaro, Italy.
Francesco PerticoneUnit of Cardiovascular Diseases, Azienda Ospedaliera Mater Domini, Catanzaro, Italy.
Gino Roberto CorazzaFirst Department of Internal Medicine, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Azienda Ospedaliero Universitario Mater Domini · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSapienza University of Rome · ITUniversity of Milan · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Appropriateness is one of the critical aspects of medicine. For this reason, the Italian Society of Internal Medicine (SIMI) decided to adhere to the Choosing Wisely Campaign. A bottom-up approach was chosen. All the recommendations published in the US and Canadian Choosing Wisely campaign have been screened, and an e-mail was sent to all the SIMI members for new suggestions. The thirty interventions that were judged as the highest priority by a committee were sent to all the SIMI members for voting. The first procedures selected were then revised, and constituted the five points of the SIMI choosing wisely campaign. The identified procedures were: (1) avoid prescribing bed rest unless an acceptable indication exists. Promote early mobilization; (2) Do not perform a D-dimer test without a precise indication; (3) Do not prescribe long term intravenous antibiotic therapy in the absence of symptoms; (4) Do not indefinitely prescribe proton pump inhibitors in the absence of specific indications; (5) Do not place, or leave in place, peripherally inserted central catheters for patient's or provider's convenience. Four of these points were not present in any other campaign, while one, the fifth, was already present. The bottom-up approach of the SIMI "Choosing Wisely" campaign favored the identification of different priorities compared to other campaigns. Future studies should now evaluate if the application of these "not-to-do" recommendations will be associated with an improvement of clinical outcome and a subsequent direct and indirect health care cost reduction.

Indexed as

HumansInternal MedicineItalyMedical OveruseSocieties, MedicalSurveys and QuestionnairesAppropriatenessChoosing wiselyHealth systemLess is more

Identifiers

PMID27804077
OpenAlexW2548166717

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.