Overuse in surgery by deviation from the “Choosing Wisely” campaign recommendations: a surrogate of unnecessary surgery and low-value care
Applying five "Choosing Wisely" recommendations, low-value surgical practices were identified, mainly involving echocardiograms after valve replacement, podiatric surgery, and cholecystectomies. Such practices were more frequent among older and hospitalized patients and were associated with direct economic costs.
Authors
- Cristina Díaz-Agero Pérez (ORCID: https://orcid.org/0000-0003-0361-4289)
- Diego San Jose‐Saras (ORCID: https://orcid.org/0000-0002-7063-5912)
- Ana Garcia-Santa-Vinuela (ORCID: https://orcid.org/0000-0003-4118-1170)
- Jesús María Aranaz-Andres
- Jorge Vicente-Guijarro
- Paulo Sousa
Institutions
- Universidad de Alcalá (ES)
- Universidad Internacional De La Rioja (ES)
- Instituto Ramón y Cajal de Investigación Sanitaria (ES)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- Hospital Universitario Ramón y Cajal (ES)
- Gobierno de La Rioja (ES)
- Universidade Nova de Lisboa (PT)
Publication Details
- Journal
- Patient Safety in Surgery
- Published
- 2026-02-16
- DOI
- https://doi.org/10.1186/s13037-026-00477-z
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00