Are unnecessary surgical procedures performed in low- and middle-income countries (LMICs), and what are the associated factors, consequences, and solutions to reduce overuse? In this systematic scoping review of 133 studies with more than 9.1 million surgical procedures and 11.4 million participants in 63 LMICs, [...]
CTPA use increased from 2005 to 2015 while diagnostic yield amongst ED patients decreased. The PE hospitalization rate also increased, while the outcome of PE mortality remained constant. Although this study cannot prove that overuse occurred, increasing CTPA use with decreasing diagnostic yield suggests an [...]
There is increasing awareness of overuse in physiotherapy and the need for strategies to help physiotherapists provide evidence-based care. This Editorial explains why physiotherapy associations need to join the Choosing Wisely campaign, outlines the missed opportunities from physiotherapy associations around the world and proposes solutions to [...]