BMC Med. 2015; 13: 255.
- A systematic review of the literature, current terminology and frameworks around de-adoption of low-value clinical practices identified 109 relevant studies.
- There were 43 unique terms referring to the process of de-adoption—the most frequently cited was “disinvest” (39 % of citations).
- Most articles cited randomized clinical trials (41%) that demonstrate harm (73%) and/or lack of efficacy (63%) as the reason to de-adopt an existing clinical practice.
- Lists of low-value practices were provided by eight citations (table5)
- Eleven citations described 13 frameworks to guide the de-adoption process, from which the authors developed a model for facilitating de-adoption. (Fig4)
