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Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists

OBJECTIVES: To know the frequency and causes of low value surgical practices, according to the opinion of surgeons and anesthetists, and to determine their degree of knowledge about the Spanish “Choosing wisely” initiative. METHODS: Cross-sectional observational study, based on a self-administered o...

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Autores principales: Aranaz Andrés, Jesús María, Valencia-Martín, José Lorenzo, Vicente-Guijarro, Jorge, Díaz-Agero Pérez, Cristina, López-Fresneña, Nieves, Carrillo, Irene, Mira Solves, José Joaquín
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277874/
https://www.ncbi.nlm.nih.gov/pubmed/32438657
http://dx.doi.org/10.3390/ijerph17103556
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author Aranaz Andrés, Jesús María
Valencia-Martín, José Lorenzo
Vicente-Guijarro, Jorge
Díaz-Agero Pérez, Cristina
López-Fresneña, Nieves
Carrillo, Irene
Mira Solves, José Joaquín
author_facet Aranaz Andrés, Jesús María
Valencia-Martín, José Lorenzo
Vicente-Guijarro, Jorge
Díaz-Agero Pérez, Cristina
López-Fresneña, Nieves
Carrillo, Irene
Mira Solves, José Joaquín
author_sort Aranaz Andrés, Jesús María
collection PubMed
description OBJECTIVES: To know the frequency and causes of low value surgical practices, according to the opinion of surgeons and anesthetists, and to determine their degree of knowledge about the Spanish “Choosing wisely” initiative. METHODS: Cross-sectional observational study, based on a self-administered online questionnaire through an opportunistic sample of 370 surgeons and anesthetists from three Spanish regions, contacted through Scientific Societies. The survey took part between July and December 2017. RESULTS: A patient profile requesting unnecessary practices was identified (female, 51−65 years old and unaffiliated disease). The frequency of requests was weekly or daily for 50.0% of the professionals, of whom 15.1% acknowledged succumbing to these pressures. To dissuade the patient, clinical reasons (47%) were considered the most effective. To increase control and safety in the case was the main reason to indicate them. The greatest responsibility for overuse was attributed to physicians, defensive medicine and mass media. Assessing professionals’ knowledge on unnecessary practices, an average of 5 correct answers out of 7 was obtained. Some 64.1% of the respondents were unaware of the Spanish “Choosing wisely” initiative. CONCLUSIONS: Low value surgical practices are perceived as a frequent problem, which requires an approach entailing intervention with patients and the media as well as professionals. Increase awareness on unnecessary surgical practices, and how to avoid them remain essential.
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spelling pubmed-72778742020-06-12 Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists Aranaz Andrés, Jesús María Valencia-Martín, José Lorenzo Vicente-Guijarro, Jorge Díaz-Agero Pérez, Cristina López-Fresneña, Nieves Carrillo, Irene Mira Solves, José Joaquín Int J Environ Res Public Health Article OBJECTIVES: To know the frequency and causes of low value surgical practices, according to the opinion of surgeons and anesthetists, and to determine their degree of knowledge about the Spanish “Choosing wisely” initiative. METHODS: Cross-sectional observational study, based on a self-administered online questionnaire through an opportunistic sample of 370 surgeons and anesthetists from three Spanish regions, contacted through Scientific Societies. The survey took part between July and December 2017. RESULTS: A patient profile requesting unnecessary practices was identified (female, 51−65 years old and unaffiliated disease). The frequency of requests was weekly or daily for 50.0% of the professionals, of whom 15.1% acknowledged succumbing to these pressures. To dissuade the patient, clinical reasons (47%) were considered the most effective. To increase control and safety in the case was the main reason to indicate them. The greatest responsibility for overuse was attributed to physicians, defensive medicine and mass media. Assessing professionals’ knowledge on unnecessary practices, an average of 5 correct answers out of 7 was obtained. Some 64.1% of the respondents were unaware of the Spanish “Choosing wisely” initiative. CONCLUSIONS: Low value surgical practices are perceived as a frequent problem, which requires an approach entailing intervention with patients and the media as well as professionals. Increase awareness on unnecessary surgical practices, and how to avoid them remain essential. MDPI 2020-05-19 2020-05 /pmc/articles/PMC7277874/ /pubmed/32438657 http://dx.doi.org/10.3390/ijerph17103556 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aranaz Andrés, Jesús María
Valencia-Martín, José Lorenzo
Vicente-Guijarro, Jorge
Díaz-Agero Pérez, Cristina
López-Fresneña, Nieves
Carrillo, Irene
Mira Solves, José Joaquín
Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title_full Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title_fullStr Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title_full_unstemmed Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title_short Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists
title_sort low-value clinical practices: knowledge and beliefs of spanish surgeons and anesthetists
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277874/
https://www.ncbi.nlm.nih.gov/pubmed/32438657
http://dx.doi.org/10.3390/ijerph17103556
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