Choosing Wisely in France, for the Treatment of Saphenous Vein Insufficiency and Recurrences

Abstract

Choosing wisely is an idea originally created in North America. It was designed to help maintaining a dialogue with patients to allow taking best decisions in the care and treatment of patients. As a consequence, despite guidelines outlining evidence of different treatments, choosing wisely takes the patient’s point of view into the focus and helps priorising therapeutic strategies in the context of specialisation, country, reimbursement and culture.In France this dialogue was performed under the auspices of the National Professional Council of Vascular Medicine (CNPMV- Conseil National Professionnel de Médecine Vasculaire), which brings together all the societies of vascular medicine in France (representing, more than 2,000 vascular doctors).They have elaborated 10 recommendations to choose wisely regarding the treatment of saphenous veins insufficiency and recurrences. The history, discussion and results are presented in this article.