Most important items listed by each of the initial 9 organizations included in the Choosing Wisely campaign
| RECOMMENDATION | ORGANIZATION |
|---|---|
| Do not perform unproven diagnostic tests, such as immunoglobulin G testing or an indiscriminate battery of immunoglobulin E tests, in the evaluation of allergy | AAAAI |
| Do not do imaging for low back pain within the first 6 weeks, unless red flags are present | AAFP |
| Do not perform stress cardiac imaging or advanced noninvasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present | ACC |
| Do not obtain screening exercise electrocardiograms in individuals who are asymptomatic and at low risk of coronary artery disease | ACP |
| Do not do imaging for uncomplicated headache | ACR |
| For pharmacologic treatment of patients with gastroesophageal reflux disease, long-term acid suppression therapy (proton pump inhibitors or histamine-2 receptor antagonists) should be titrated to the lowest effective dose needed to achieve therapeutic goals | AGA |
| Do not use cancer-directed therapy for patients with solid tumours with the following characteristics: low performance status, no benefit from previous evidence-based interventions, not eligible for a clinical trial, and no strong evidence supporting the clinical value of further anticancer treatment | ASCO |
| Do not perform routine cancer screening for dialysis patients with limited life expectancies without signs or symptoms | ASN |
| Do not perform stress cardiac imaging or coronary angiography in patients without cardiac symptoms unless high-risk markers are present | ASNC |
AAAAI—American Academy of Allergy, Asthma and Immunology, AAFP—American Academy of Family Physicians, ACC—American College of Cardiology, ACP—American College of Physicians, ACR—American College of Radiology, AGA—American Gastroenterological Association, ASCO—American Society of Clinical Oncology, ASN—American Society of Nephrology, ASNC—American Society of Nuclear Cardiology.