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

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.