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Table 2 Overview of included SRs

From: Effectiveness of de-implementation of low-value healthcare practices: an overview of systematic reviews

Author Year, [Ref]

Confidence level

Topic

Outcomes

Drug treatment: antibiotics

Coxeter 2015 [27]

MOD

Shared decision-making for ARI in primary care

Utilisationa

Davey 2017 [28]

HIGH

Improvement of hospital prescribing practice

Appr. a

Utilis. a

deBont 2015 [29]

LOW

Patient information leaflets in general practice

Utilisationb

Doan 2014 [30]

HIGH

Rapid viral diagnosis in ED

Utilisationc

Fleming 2013 [31]

LOW

Reduce inappropriate prescribing in long-term care

Appr. c

Utilis. c

Lane 2018 [32]

LOW

Use of epidemiological data in primary care

Utilisationa

Lim 2020 [33]

LOW

National interventions for responsible usage

Utilisationa

Martinez-Gonzalez 2020 [34]

HIGH

Point-of-Care C-Reactive protein testing in primary care

Utilisationa

Mortazhejri 2020 [35]

HIGH

Patient-oriented interventions for URTI

Utilisationa

Nabovati 2021 [36]

LOW

Information technology interventions for ARI

Utilisationb

Nair 2021 [37]

MOD

Outpatient behavioural intervention in LIC & LMIC

Utilisationa

Nguyen 2019 [38]

MOD

Antimicrobial stewardship in care homes

Appr.c

Utilis. c

O’Sullivan 2016 [39]

HIGH

Written information for URTI patients

Utilisationa

Raban 2023 [40]

LOW

Nudge interventions in primary care

Utilisationa

Rajar 2020 [41]

MOD

Antibiotic stewardship in premature infants

Utilisationa

Siachalinga 2022 [42]

LOW

Antimicrobial stewardship for hospital patients

Appr. a

Utilis.b

Smedemark 2022 [43]

MOD

Point-of-care-tests in ARI patients in primary care

Utilisationa

Spurling 2017 [44]

HIGH

Delayed antibiotic prescriptions for RTI

Utilisationb

VanDijck 2018 [45]

MOD

Hospital antibiotic stewardship interventions in LIC & LMIC

Utilisationb

Vodicka 2013 [46]

LOW

Reduce antibiotic prescribing in children with RTI

Utilisationb

Drug treatment: opioids

Badreldin 2023 [47]

LOW

Reduce opioid prescribing in postpartum patients

Utilisationa

Daoust 2022 [48]

MOD

Reduce opioid prescribing after ED

Utilisationa

Phinn 2023 [49]

MOD

Organisational interventions on discharge

Utilisationa

Zhang 2020 [50]

MOD

Behavioural interventions post-surgery

Utilisationa

Drug treatment: antipsychotics

Birkenhäger-Gillesse 2018 [51]

LOW

Psychosocial interventions for BPSD

Utilisationb

Mokhar 2018 [52]

LOW

Patient-centred care interventions to reduce inappropriate medication

Utilisationa

ThompsonCoon 2014 [53]

MOD

Reduce inappropriate prescribing in people with dementia resident in care homes

Utilisationc

Laboratory tests

Dunn 2021 [54]

LOW

Clinical Decision Support Alerts on CD Testing

Appr. a

Utilis.b

Kobewka 2015 [55]

MOD

Reduce laboratory test utilisation

Utilisationb

Yeshoua 2023 [56]

LOW

Reduce repetitive inpatient test ordering

Utilisationb

Zare 2021 [57]

LOW

CDSS to reduce inpatient test ordering

Utilisationb

Zhelev 2016 [58]

MOD

Reduce thyroid function tests

Appr. c

Utilis.b

Diagnostic imaging

Belavy 2022 [59]

MOD

Reduce low-value imaging for low back pain

Utilisation

Dunne 2022 [60]

MOD

Reduce computed tomography in ED

Utilisationb

Kjelle 2021 [61]

LOW

Reduce low-value imaging

Utilisationa

Zare 2022 [62]

LOW

CDSS for appropriate use of imaging

Appr. a

Utilis. a

Other tests

Foster 2020 [63]

LOW

Audit and feedback for ordering in critical care

Appr.b

Utilis.b

Takada 2020 [64]

LOW

Reduce low-value medical tests in primary care

Utilisationb

Xie 2022 [65]

MOD

Reduce medication use and test ordering

Utilisationc

Other interventions

Baptista 2018 [66]

LOW

Decision aids for prostate cancer screening

Utilisationc

Chen 2018 [67]

HIGH

Reduce unnecessary caesarean sections

Utilisationc

Ralston 2014 [68]

LOW

Reduce hospitalisation for bronchiolitis

Utilisationa

Rietbergen 2020 [69]

MOD

Reduce low-value nursing procedures

Utilisationc

Sypes 2020 [70]

LOW

Engage patients to reduce clinical care

Utilisationa

Xiong 2018 [71]

MOD

Reduce unnecessary central venous catheter use

Utilisationc

Xu 2021 [72]

LOW

Reduce SUPP in Intensive Care Units

Appropriat.b

  1. Abbreviations: Appr. appropriateness, ARI acute respiratory infections, BPSD behavioural and psychological symptoms in dementia, CD Clostridioides difficile, CDSS clinical decision support systems, ED emergency department, LIC low-income countries, LMIC low- and middle-income countries, RTI respiratory tract infection, SUPP stress ulcer prophylaxis pharmacotherapy, URTI upper respiratory tract infections Utilis. utilisation
  2. astatistically significant reduction
  3. binconsistent reduction
  4. cno change