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Table 2 Details and ranking of the 15 care procedures used to define the patients’ top five list

From: Implementation of a top five list to identify medical overuse in general practice according to patients’ viewpoint in 2019 in France

Care procedures

Indication

Patients’ top five list”

Sum of points

Number of citations

Rank

Result

Rank

Result

Prescription of antibiotics

Acute bronchitis, nasopharyngitis, otitis media with effusion, uncomplicated influenza

1

1,539

1

431

Prescription of benzodiazepine and benzodiazepine-like agents

Insomnia, generalised anxiety and in older patients for all indications

2

1,242

2

389

Prescription of an homeopathic treatment (Influenzinum)

Flu prevention

3

1,230

3

351

Prescription of antitussive or expectorants agents

Acute cough or acute bronchitis care

4

1,000

4

313

Prescription of statins

Primary prevention of cardio-vascular risk in older patients

5

960

5

301

Prescription of Tramadol or tramadol with paracetamol

Pain care in older patients

6

764

6

266

Prescription of lumbar scanner

Low back pain evolving for less than 6 weeks

7

684

7

259

Prescription of a non-steroidal anti-inflammatory agent (NSAID)

Symptomatic treatment of acute sinusitis and pharyngitis

8

670

8

254

Long term prescription of proton pump inhibitors

Without reviewing the indication

9

657

9

246

PSA Testing

Systematic screening of prostate cancer in men older than 50 with no information given to the patient regarding the benefits and risks

10

411

10

153

Mammography

Systematic screening for breast cancer in women with no information given to the patient regarding the benefits and risks

11

337

11

119

Prescription of cholinesterase inhibitors and memantin

Mild cognitive impairment and Alzheimer disease

12

289

12

113

Prescription of vasodilatator agents

Peripheral Arterial Disease

13

237

13

100

Prescription of DPP4 inhibitors

Type 2 diabetes

14

195

14

84

Prescription of allopurinol

Asymptomatic hyperuricemia in prevention of gout attack, renal hypertension, cardio-vascular disease

15

180

15

76