使用推荐分级系统（SORT）评估基层医疗中明智选择（Choosing WiselyTM）的证据。
Evaluating the Evidence for Choosing WiselyTM in Primary Care Using the Strength of Recommendation Taxonomy (SORT).
作者信息
Lin Kenneth W, Yancey Joseph R
机构信息
From the Department of Family Medicine, Georgetown University School of Medicine, Washington, DC (KWL); and the National Capital Consortium Family Medicine Residency, Fort Belvoir Community Hospital, Fort Belvoir, VA (JRY).
出版信息
J Am Board Fam Med. 2016 Jul-Aug;29(4):512-5. doi: 10.3122/jabfm.2016.04.160003.
OBJECTIVE
The goal of this study was to evaluate the quality of evidence supporting primary care-relevant Choosing Wisely(TM) recommendations using the Strength of Recommendation Taxonomy (SORT).
METHODS
All Choosing Wisely "top 5" lists published by American medical specialty societies through June 2014 were reviewed for relevance to primary care. Both authors independently applied SORT to generate an evidence letter grade for each of the included recommendations, relying on citations supplied by the nominating organizations.
RESULTS
Of 310 recommendations, 224 were identified as being relevant to primary care. We rated 43 (19%) as SORT level of evidence A, 57 (25%) as B, and 124 (55%) as C.
CONCLUSION
We found that a majority of primary care-relevant Choosing Wisely recommendations are based on expert consensus or disease-oriented evidence. Further research is warranted to strengthen the evidence base supporting these recommendations in order to improve their acceptance and implementation into primary care.
目的
本研究的目的是使用推荐分类强度（SORT）来评估支持与初级保健相关的明智选择（Choosing Wisely™）推荐的证据质量。
方法
对美国医学专业协会截至2014年6月发布的所有明智选择“前5名”清单进行审查，以确定其与初级保健的相关性。两位作者独立应用SORT，根据提名组织提供的引用，为每个纳入的推荐生成证据字母等级。
结果
在310条推荐中，224条被确定与初级保健相关。我们将43条（19%）评为SORT证据等级A，57条（25%）评为B，124条（55%）评为C。
结论
我们发现，大多数与初级保健相关的明智选择推荐基于专家共识或疾病导向性证据。有必要进行进一步研究以加强支持这些推荐的证据基础，从而提高它们在初级保健中的接受度和实施率。
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