Drs. Rouster-Stevens and Ardoin contributed equally to this work.
Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology†
Article first published online: 22 APR 2014
Copyright © 2014 by the American College of Rheumatology
Arthritis Care & Research
Volume 66, Issue 5, pages 649–657, May 2014
How to Cite
Rouster-Stevens, K. A., Ardoin, S. P., Cooper, A. M., Becker, M. L., Dragone, L. L., Huttenlocher, A., Jones, K. B., Kolba, K. S., Moorthy, L. N., Nigrovic, P. A., Stinson, J. N., Ferguson, P. J. and for the American College of Rheumatology Pediatric Rheumatology Core Membership Group (2014), Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology. Arthritis Care Res, 66: 649–657. doi: 10.1002/acr.22238
Additional members of the American College of Rheumatology Pediatric Rheumatology Core Membership Group are shown in Appendix A.
- Issue published online: 22 APR 2014
- Article first published online: 22 APR 2014
- Manuscript Accepted: 14 NOV 2013
- Manuscript Received: 11 AUG 2013
To create a pediatric rheumatology Top 5 list as part of the American Board of Internal Medicine Foundation's Choosing Wisely campaign.
Delphi surveys of a core group of representative pediatric rheumatology providers from across North America generated candidate Top 5 items. Items with high content agreement and perceived to be of prevalent use and of high impact were included in a survey of all American College of Rheumatology (ACR) members who identified themselves as providing care to pediatric patients. Items with the highest ratings were subjected to literature review and further evaluation.
A total of 121 candidate items were proposed in the initial Delphi survey and were reduced to 28 items in subsequent surveys. These 28 items were sent to 1,198 rheumatology providers who care for pediatric patients, and 397 (33%) responded. Based upon survey data and literature review, the Top 5 items were identified. These items focused on testing for antinuclear antibodies, autoantibody panels, Lyme disease, methotrexate toxicity monitoring, and use of routine radiographs.
The ACR pediatric rheumatology Top 5 is one of the first pediatric subspecialty–specific Choosing Wisely Top 5 lists and provides an opportunity for patients and providers to discuss appropriate use of health care in pediatric rheumatology.