• Anna Glechner, Susanne Rabady, Herbert Bachler, Christoph Dachs, Maria Flamm, Reinhold Glehr, Kathryn Hoffmann, Renate Hoffmann-Dorninger, Gustav Kamenski, Matthias Lutz, Stephanie Poggenburg, Wilfried Tschiggerl, and Karl Horvath.
• Department 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.
• Wien Med Wochenschr. 2021 Oct 1; 171 (13-14): 293-300.

AbstractFrom 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.© 2021. The Author(s).

12 keywords...

hide…