Journal article
Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology
Arthritis care & research (2010), Vol.66(5), pp.649-657
05/2014
DOI: 10.1002/acr.22238
PMID: 24756998
Abstract
Objective
To create a pediatric rheumatology Top 5 list as part of the American Board of Internal Medicine Foundation's Choosing Wisely campaign.
Methods
Delphi surveys of a core group of representative pediatric rheumatology providers from across North America generated candidate Top 5 items. Items with high content agreement and perceived to be of prevalent use and of high impact were included in a survey of all American College of Rheumatology (ACR) members who identified themselves as providing care to pediatric patients. Items with the highest ratings were subjected to literature review and further evaluation.
Results
A total of 121 candidate items were proposed in the initial Delphi survey and were reduced to 28 items in subsequent surveys. These 28 items were sent to 1,198 rheumatology providers who care for pediatric patients, and 397 (33%) responded. Based upon survey data and literature review, the Top 5 items were identified. These items focused on testing for antinuclear antibodies, autoantibody panels, Lyme disease, methotrexate toxicity monitoring, and use of routine radiographs.
Conclusion
The ACR pediatric rheumatology Top 5 is one of the first pediatric subspecialty–specific Choosing Wisely Top 5 lists and provides an opportunity for patients and providers to discuss appropriate use of health care in pediatric rheumatology.
Details
- Title: Subtitle
- Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology
- Creators
- Kelly A Rouster‐Stevens - Emory University School of MedicineStacy P Ardoin - Ohio State University College of MedicineAshley M Cooper - University of Texas Southwestern Medical School, Dallas, and Children's Mercy Hospitals and ClinicsMara L Becker - Children's Mercy Hospitals and ClinicsLeonard L Dragone - University of Colorado School of MedicineAnna Huttenlocher - University of Wisconsin College of MedicineKarla B Jones - Ohio State University College of MedicineKaren S Kolba - Pacific Arthritis Center Medical GroupL. Nandini Moorthy - Robert Wood Johnson Medical SchoolPeter A Nigrovic - Boston Children's Hospital and Brigham and Women's HospitalJennifer N Stinson - The Hospital for Sick ChildrenPolly J Ferguson - University of Iowa Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Arthritis care & research (2010), Vol.66(5), pp.649-657
- DOI
- 10.1002/acr.22238
- PMID
- 24756998
- ISSN
- 2151-464X
- eISSN
- 2151-4658
- Number of pages
- 9
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Rheumatology, Allergy, and Immunology
- Record Identifier
- 9984065839602771
Metrics
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