Choosing Wisely Brazil: top 5 low-value practices that should be avoided in musculoskeletal physical therapy

Reis, Felipe José Jandre dos; Meziat‐Filho, Ney; Soares, Renato José; Correia, Luís Cláudio Lemos

doi:10.1016/j.physio.2021.03.003

Cited by 5 publications

(5 citation statements)

References 35 publications

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“…The entire continuum of care (primary care to specialist care or healthcare system) was covered by six records 19 43–47. Four of 27 records focused on practice by a specific profession or discipline40 48–50 with two records targeting practice by the allied health disciplines of nutrition50 and physical therapy 49. The majority of records (23 of 27 records) focused on the preimplementation phase of research.…”

Section: Resultsmentioning

confidence: 99%

“…Nearly half of the included studies (11 records) included an explicit definition of low-value care8 15 19 43 45 47 49 53–56 (online supplemental file 3). Some studies failed to apply the explicit definitions or key concepts of low-value care to their study methods (two records) or applied different definitions or key concepts to those explicitly stated (nine records).…”

Section: Resultsmentioning

confidence: 99%

“…19 43-47 Four of 27 records focused on practice by a specific profession or discipline 40 48-50 with two records targeting practice by the allied health disciplines of nutrition 50 and physical therapy. 49 The majority of records (23 of 27 records) focused on the preimplementation phase of research. Four of 27 records examined evaluation, either by developing evaluation measures 8 or evaluating intervention effectiveness.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Multicomponent processes to identify and prioritise low-value care in hospital settings: a scoping review

Tyack,

Carter,

Allen

et al. 2024

BMJ Open

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ObjectivesThis scoping review mapped and synthesised original research that identified low-value care in hospital settings as part of multicomponent processes.DesignScoping review.Data sourcesElectronic databases (EMBASE, PubMed, CINAHL, PsycINFO and Cochrane CENTRAL) and grey literature were last searched 11 July and 3 June 2022, respectively, with no language or date restrictions.Eligibility criteriaWe included original research targeting the identification and prioritisation of low-value care as part of a multicomponent process in hospital settings.Data extraction and synthesisScreening was conducted in duplicate. Data were extracted by one of six authors and checked by another author. A framework synthesis was conducted using seven areas of focus for the review and an overuse framework.ResultsTwenty-seven records were included (21 original studies, 4 abstracts and 2 reviews), originating from high-income countries. Benefit or value (11 records), risk or harm (10 records) were common concepts referred to in records that explicitly defined low-value care (25 records). Evidence of contextualisation including barriers and enablers of low-value care identification processes were identified (25 records). Common components of these processes included initial consensus, consultation, ranking exercise or list development (16 records), and reviews of evidence (16 records). Two records involved engagement of patients and three evaluated the outcomes of multicomponent processes. Five records referenced a theory, model or framework.ConclusionsGaps identified included applying systematic efforts to contextualise the identification of low-value care, involving people with lived experience of hospital care and initiatives in resource poor contexts. Insights were obtained regarding the theories, models and frameworks used to guide initiatives and ways in which the concept ‘low-value care’ had been used and reported. A priority for further research is evaluating the effect of initiatives that identify low-value care using contextualisation as part of multicomponent processes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Multicomponent processes to identify and prioritise low-value care in hospital settings: a scoping review

Tyack,

Carter,

Allen

et al. 2024

BMJ Open

View full text Add to dashboard Cite

show abstract

“…Trata-se de um relato de protocolo para desenvolvimento de uma lista "Choosing Wisely". Este estudo foi baseado no estudo de Reis et al 15 , e será desenvolvido em parceria com a Associação Brasileira de Fisioterapia em Saúde da Mulher (ABRAFISM). Este projeto está submetido à apreciação do Comitê de Ética e Pesquisa em Seres Humanos.…”

Section: Métodounclassified

“…Em medicina, na área de Saúde da Mulher, encontrase na literatura diversas listas Choosing Wisely voltadas à oncologia [5][6][7] , obstetrícia 8,9 , urologia 10,11 e ginecologia. 12 A elaboração dessas listas voltadas às condutas fisioterapêuticas é bastante recente [13][14][15] ; até o presente momento, não foi encontrado na literatura listas voltadas à Fisioterapia na Saúde da Mulher, desse modo, iniciativas para reduzir cuidados de baixo valor em fisioterapia, incluindo overtesting, overdetection, overdefinition, and overtreatment são relevantes e necessárias. 16 Baseado no exposto, o objetivo do presente estudo é descrever o processo de desenvolvimento da lista brasileira Choosing Wisely de fisioterapia na saúde da mulher/ assoalho pélvico.…”

Section: Introductionunclassified

Iniciativa Choosing Wisely Brasil para a Fisioterapia na Saúde da Mulher/Assoalho Pélvico: protocolo de estudo

et al. 2022

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INTRODUÇÃO: A iniciativa Choosing Wisely visa promover a discussão entre os profissionais da saúde e pacientes, a fim de reduzir os cuidados de baixo valor que não oferecem nenhum benefício ou podem causar prejuízos para a saúde. OBJETIVO: Descrever o processo de desenvolvimento da lista brasileira Choosing Wisely de Fisioterapia na Saúde da Mulher/Assoalho Pélvico. MÉTODO: A pesquisa será realizada em três etapas. Na primeira etapa, fisioterapeutas com experiência em Saúde da Mulher/Assoalho Pélvico serão convidados para compor um painel de especialistas e responderão a um formulário. O método Delphi será utilizado para se obter uma lista de declarações baseadas em evidência. Na segunda etapa, os membros da equipe de pesquisa analisarão todas as declarações fornecidas pelo painel de especialistas. Na terceira etapa, uma amostra de fisioterapeutas votará nas declarações selecionadas anteriormente. As declarações com mais votos na pesquisa nacional serão submetidas à Choosing Wisely Brasil, e uma lista final de recomendações será publicada.

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Low-Value Practices for Pelvic Floor Dysfunction—Choosing Wisely Recommendations from the Brazilian Association of Physiotherapy in Women’s Health: Observational Study

Pasqualotto,

Driusso,

dos Reis

et al. 2024

Int Urogynecol J

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Choosing Wisely Brazil: top 5 low-value practices that should be avoided in musculoskeletal physical therapy

Cited by 5 publications

References 35 publications

Multicomponent processes to identify and prioritise low-value care in hospital settings: a scoping review

Multicomponent processes to identify and prioritise low-value care in hospital settings: a scoping review

Iniciativa Choosing Wisely Brasil para a Fisioterapia na Saúde da Mulher/Assoalho Pélvico: protocolo de estudo

Low-Value Practices for Pelvic Floor Dysfunction—Choosing Wisely Recommendations from the Brazilian Association of Physiotherapy in Women’s Health: Observational Study

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