Evidence mapPaperPMID 42598729Full record

ArticleGeburtshilfe und Frauenheilkunde2026

Avoiding Overuse in German Gynaecology and Obstetrics - Adaptation of the Canadian "Choosing Wisely" Recommendations.

Philipp Scharli, Susanne Schüler-Toprak, Florian Ebner, Maren Goeckenjan, Diane Francoeur, Nikolaus Mezger, Annette Hasenburg, working group for sustainability of the German Society for Gynaecology and Obstetrics

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Article in Geburtshilfe und Frauenheilkunde, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Philipp ScharliUniversitätsmedizin Mannheim, Mannheim, Germany.
Susanne Schüler-ToprakArbeitsgemeinschaft Nachhaltigkeit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe, Mainz, Germany.
Florian EbnerArbeitsgemeinschaft Nachhaltigkeit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe, Mainz, Germany.
Maren GoeckenjanArbeitsgemeinschaft Nachhaltigkeit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe, Mainz, Germany.
Diane FrancoeurSociety of Obstetricians and Gynaecologists, Ottawa, Kanada.
Nikolaus MezgerArbeitsgruppe Globale und Planetare Gesundheit, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Germany.
Annette HasenburgArbeitsgemeinschaft Nachhaltigkeit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe, Mainz, Germany.
working group for sustainability of the German Society for Gynaecology and Obstetrics

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overuse in medicine refers to the provision of medical services that exceed what is necessary to meet patient needs and therefore result in more harm than benefit. Up to 30% of provided services can be classified as overuse. In several countries worldwide, including Canada, "Choosing Wisely" committees exist that issue recommendations to reduce overuse. In Germany, there are currently no recommendations for avoiding overuse in gynecology and obstetrics, which is why we adapted the recommendations of the Canadian "Choosing Wisely" initiative and discussed them in the context of the guidelines and directives applicable in Germany. Our article provides 13 concrete recommendations as well as practice-oriented suggestions for reducing overdiagnosis and overtreatment in gynaecology and obstetrics, thereby supporting the continuous and sustainable optimisation of patient care. Furthermore, reducing overuse in our field can help improve working conditions in healthcare professions and lower the ecological and economic costs of our healthcare system.

Indexed as

Choosing Wiselyhealthcare researchhealthcare systemoverusesustainability

Identifiers

PMID42598729
PMCPMC13472742

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.