Background Overuse of diagnostic testing substantially contributes to healthcare expenses
and potentially exposes patients to unnecessary harm. Our objective was to systematically …

Background: Inappropriate health care leads to negative patient experiences, poor health
outcomes and inefficient use of resources. We aimed to conduct a systematic review of …

Importance Clinical guidelines advise against routine electrocardiograms (ECG) in low-risk,
asymptomatic patients, but the frequency and impact of such ECGs are unknown. Objective …

Importance The association of low-value testing with downstream care and clinical
outcomes among primary care outpatients is unknown to date. Objective To assess the …

Background As health care spending reaches unsustainable levels, improving value has
become an increasingly important policy priority. Relatively little research has explored …

Importance International nephrology societies advise against nonsteroidal anti-inflammatory
drug (NSAID) use in patients with hypertension, heart failure, or chronic kidney disease …

Objective General practitioners have an important role in reducing low-value care as
gatekeepers of the health system. The aim of this study was to assess the experiences of …

Abstract Background Through the Choosing Wisely Canada (CWC) campaign, national
medical specialty societies have released hundreds of recommendations against health …

Background Low-value pharmaceutical care exists in general practice. However, the extent
among Dutch GPs remains unknown. Aim To assess the prevalence of low-value …

Background There have been contributions to quantify the volume of low-value care
practices in the USA, Canada and Australia but we have no knowledge about the volume in …