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Comment & Response
April 2016

Choosing Wisely Recommendations Using Administrative Claims Data

Author Affiliations
  • 1Dipartimento SSB Cure Primarie, ASL of Milan, Milan, Italy
  • 2Università Degli Studi Milano-Bicocca, Milan, Italy
JAMA Intern Med. 2016;176(4):565-566. doi:10.1001/jamainternmed.2016.0357

To the Editor The population-based analysis of 7 recommendations from the Choosing Wisely campaign by Rosenberg et al1 shows minimal changes equally distributed across desirable decreases, disappointing increases, or null effects. What is not working?

In some cases it is the wording of the recommendation itself; eg, “do not routinely prescribe antibiotics for mild-to-moderate acute sinusitis unless symptoms last ≥7 d”1(p1916) cannot work because the rationale itself states “acute rhinosinusitis resolves without treatment… in 2 weeks.”1(p1916)

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