Evidence map›Paper›PMID 33970380›Full record

ArticleWiener medizinische Wochenschrift (1946)2021

A Choosing Wisely top-5 list to support general practitioners in Austria.

Anna Glechner, Susanne Rabady, Herbert Bachler, Christoph Dachs, Maria Flamm, Reinhold Glehr, Kathryn Hoffmann, Renate Hoffmann-Dorninger, Gustav Kamenski, Matthias Lutz and 3 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Wiener medizinische Wochenschrift (1946), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 89% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Choosing Wisely recommendations in oncology: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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

13 authors at 7 institutions in 1 country.

Anna GlechnerDepartment for Evidence-based Medicine and Clinical Epidemiology, Cochrane Austria, Danube University Krems, Dr.-Karl-Dorrek Straße 30, 3500, Krems a.d. Donau, Austria. anna.glechner@donau-uni.ac.at.
Susanne RabadyDepartment of General Medicine and Family Practice, Karl Landsteiner University of Health Sciences, Krems, Austria.
Herbert BachlerGeneral Medicine and Family Medicine, Medical University Innsbruck, Innsbruck, Austria.
Christoph DachsInstitute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria.
Maria FlammInstitute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria.
Reinhold GlehrInstitute of General Practice and Evidence-Based Health Research, Medical University Graz, Graz, Austria.
Kathryn HoffmannDepartment for General Medicine and Family Practice, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Renate Hoffmann-DorningerDepartment for General Medicine and Family Practice, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Gustav KamenskiDepartment of General Medicine and Family Practice, Karl Landsteiner University of Health Sciences, Krems, Austria.
Matthias LutzGeneral Medicine and Family Medicine, Medical University Innsbruck, Innsbruck, Austria.
Stephanie PoggenburgInstitute of General Practice and Evidence-Based Health Research, Medical University Graz, Graz, Austria.
Wilfried TschiggerlAustrian Institute for General Medicine, Klagenfurt, Austria.
Karl HorvathInstitute of General Practice and Evidence-Based Health Research, Medical University Graz, Graz, Austria.
Medical University of Graz · ATInnsbruck Medical University · ATMedical University of Vienna · ATParacelsus Medical University · ATKarl Landsteiner Society · ATKarl Landsteiner University of Health Sciences · ATUniversität für Weiterbildung Krems · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

From a pool of 147 reliable recommendations, ten experts from the Austrian Society of General Practice and Family Medicine selected 21 relevant recommendations as the basis for the Delphi process. In two Delphi rounds, eleven experts established a top‑5 list of recommendations designed for Austrian family practice to reduce medical overuse. Three of the chosen recommendations address the issue of antibiotic usage in patients with viral upper respiratory tract infections, in children with mild otitis media, and in patients with asymptomatic bacteriuria. The other two "do not do" recommendations concern imaging studies for nonspecific low back pain and routine screening to detect prostate cancer. A subsequent survey identified the reasons for selecting these top‑5 recommendations: the frequency of the issue, potential harms, costs, and patients' expectations. Experts hope the campaign will save time in educating patients and provide legal protection for omitting measures.

Indexed as

General PracticeGeneral PractitionersAustriaChildHumansMaleMedical OveruseAntibioticsFamily medicineLow back painOverdiagnosisOveruse

Identifiers

PMID33970380
PMCPMC8484253
OpenAlexW3162647120

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.