Table 1 Criteria for the Choosing Wisely recommendations

Quality criteria

 Relevance: The recommendation should target an intervention that

 • can cause significant harm to patients or the health care system or

 • is ineffective but widely used or

 • has a notable economic impact

 Feasible: Possibility to have an impact on clinical practice

 Evidence-based: The recommendation is based on critically appraised literature, preferably presented in evidence summaries

 Strength: A possibility to give a strong recommendation* (GRADE criterion) [14]

Process criteria

 The reasons for acceptance or rejection are documented

 The authors of the recommendation do not have significant conflicts of interest

 The recommendations are published in a consistent format including a short justification

 The Finnish Medical Society has the final decision on publishing