• Kenneth W Lin and Joseph R Yancey.
• From the Department of Family Medicine, Georgetown University School of Medicine, Washington, DC (KWL); and the National Capital Consortium Family Medicine Residency, Fort Belvoir Community Hospital, Fort Belvoir, VA (JRY). Kenneth.Lin@georgetown.edu.
• J Am Board Fam Med. 2016 Jul 1; 29 (4): 512-5.

ObjectiveThe goal of this study was to evaluate the quality of evidence supporting primary care-relevant Choosing Wisely(TM) recommendations using the Strength of Recommendation Taxonomy (SORT).MethodsAll Choosing Wisely "top 5" lists published by American medical specialty societies through June 2014 were reviewed for relevance to primary care. Both authors independently applied SORT to generate an evidence letter grade for each of the included recommendations, relying on citations supplied by the nominating organizations.ResultsOf 310 recommendations, 224 were identified as being relevant to primary care. We rated 43 (19%) as SORT level of evidence A, 57 (25%) as B, and 124 (55%) as C.ConclusionWe found that a majority of primary care-relevant Choosing Wisely recommendations are based on expert consensus or disease-oriented evidence. Further research is warranted to strengthen the evidence base supporting these recommendations in order to improve their acceptance and implementation into primary care.© Copyright 2016 by the American Board of Family Medicine.

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