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An Opinion on Medical Overuse in the Context of the European Academy of Paediatrics Choosing Wisely Initiative

Brändle, Gabriel ; Orfanos, Ioannis LU orcid ; Mari, Judit ; Montemaggi, Alessandra ; Størdal, Ketil ; Trapani, Sandra and Wyder, Corinne (2026) In Acta Pædiatrica p.1-3
Abstract

In 2024, the European Academy of Paediatrics (EAP) published a list of 10 low-value practices in paediatric care. Embedded in the Choosing Wisely framework, this list is a step towards promoting targeted and evidence-based care. However, no single recommendation can change prescription habits and we need to acknowledge that overuse of the available resources has multiple causes. Among them, the physicians' mental framework, cognitive biases, fears of missing a diagnostic and the pressure to act cannot be ignored. Here, the EAP's Choosing Wisely working group explores these causes and outlines three broad paths that may lead to long-lasting reduction in low-value care.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Acta Pædiatrica
pages
1 - 3
publisher
Wiley-Blackwell
external identifiers
  • pmid:41992654
  • scopus:105035902753
ISSN
1651-2227
DOI
10.1111/apa.70545
language
English
LU publication?
yes
additional info
© 2026 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.
id
2c507718-d435-465e-a4d8-92a421f7c621
date added to LUP
2026-04-21 21:40:55
date last changed
2026-06-07 05:52:37
@article{2c507718-d435-465e-a4d8-92a421f7c621,
  abstract     = {{<p>In 2024, the European Academy of Paediatrics (EAP) published a list of 10 low-value practices in paediatric care. Embedded in the Choosing Wisely framework, this list is a step towards promoting targeted and evidence-based care. However, no single recommendation can change prescription habits and we need to acknowledge that overuse of the available resources has multiple causes. Among them, the physicians' mental framework, cognitive biases, fears of missing a diagnostic and the pressure to act cannot be ignored. Here, the EAP's Choosing Wisely working group explores these causes and outlines three broad paths that may lead to long-lasting reduction in low-value care.</p>}},
  author       = {{Brändle, Gabriel and Orfanos, Ioannis and Mari, Judit and Montemaggi, Alessandra and Størdal, Ketil and Trapani, Sandra and Wyder, Corinne}},
  issn         = {{1651-2227}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{1--3}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Pædiatrica}},
  title        = {{An Opinion on Medical Overuse in the Context of the European Academy of Paediatrics Choosing Wisely Initiative}},
  url          = {{http://dx.doi.org/10.1111/apa.70545}},
  doi          = {{10.1111/apa.70545}},
  year         = {{2026}},
}