FOR IMMEDIATE RELEASE
Thursday, Feb. 21, 2013
Public Relations Strategist
American Academy of Family Physicians
(800) 274-2237 Ext. 5223
LEAWOOD, Kan. – Today the American Academy of Family Physicians released its second list of specific tests or procedures that are commonly ordered, but not always necessary, in family medicine as part of the Choosing Wisely® campaign(www.choosingwisely.org), an initiative of the American Board of Internal Medicine Foundation. The list identifies five targeted, evidence-based recommendations that can support conversations between patients and physicians about what care is really necessary. The AAFP’s list identified the following five recommendations:
“The American Academy of Family Physicians is committed to the Choosing Wisely campaign and its mission of sharing evidence-based clinical information about tests and procedures to help family physicians and their patients make informed decisions. So much so that the AAFP has extended its involvement, developing a second list of five screenings and treatments that are frequently overused or misused,” said Glen R. Stream, MD, MBI, board chair of the AAFP. “It has been estimated that nearly one-third of health care delivered in the United States is unnecessary. Tests and procedures that lack evidence of their effectiveness put our patients at risk and drive up the cost of care.”All the lists released today as part of the Choosing Wisely campaign were developed by individual specialty societies after months of careful consideration and review. Using the most current evidence about management and treatment options within their specialty, the societies believe the recommendations can make a significant impact on patient care, safety and quality. The AAFP created its list of clinical recommendations for the second phase of the Choosing Wisely campaign with the goal of identifying screenings and procedures in family medicine which evidence suggest might be overused leading to unnecessary risks, harms and costs. For each item, evidence was reviewed from appropriate sources such as the Cochrane Collaboration, and the Agency for Healthcare Research and Quality. The AAFP’s Commission on Health of the Public and Science reviewed and approved the recommendations.In the case of the first two items on its list — concerning elective, non-medically indicated inductions of labor or cesarean deliveries — the AAFP collaborated with the American College of Obstetricians and Gynecologists in developing the final language.Sixteen other organizations are releasing lists along with the AAFP today, representing more than 350,000 physicians, nurses, pathologists, radiologists and other health care professionals. They are:
“The AAFP has a long history of leadership in helping physicians be careful stewards of health care resources. Our ongoing involvement in the Choosing Wisely campaign underscores family physicians’ commitment to ensuring high-quality, cost-effective care to our patients,” Stream said. In April 2012, nine medical specialty societies each released lists as part of the Choosing Wisely campaign. To date, more than 130 tests and procedures to question have been released as part of the campaign, and the specialty societies are now undertaking considerable efforts to share the recommendations with their collective membership of more than 725,000 physicians. The campaign is also reaching millions of consumers nationwide through a stable of consumer partners, led by Consumer Reports — the world’s largest independent product-testing organization — which has worked with the ABIM Foundation to distribute patient-friendly resources for consumers and physicians to engage in these important conversations. Choosing Wisely consumer partners include:
In addition, the campaign announced specialty societies who will release new lists later in 2013. The AAFP will release a third list of five recommendations, and will be joined by:
*Releasing a second listTo learn more about Choosing Wisely and to view the complete lists and additional detail about the recommendations and evidence supporting them, visit www.ChoosingWisely.org(www.ChoosingWisely.org).
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Founded in 1947, the AAFP represents 120,900 physicians and medical students nationwide. It is the only medical society devoted solely to primary care.
Approximately one in four of all office visits are made to family physicians. That is nearly 214 million office visits each year — nearly 74 million more than the next largest medical specialty. Today, family physicians provide more care for America’s underserved and rural populations than any other medical specialty. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on integrated care.
To learn more about the specialty of family medicine, the AAFP's positions on issues and clinical care, and for downloadable multi-media highlighting family medicine, visit www.aafp.org/media. For information about health care, health conditions and wellness, please visit the AAFP’s award-winning consumer website, www.FamilyDoctor.org(www.familydoctor.org).
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February 21, 2013