Table 1 SFGG Choosing Wisely recommendations. Five recommendations were validated. Three were not selected following campaigns to evaluate professional practices and voting at the annual SFGG meeting

SFGG Choosing Wisely Recommendations

Recommendations validated after the 2016 evaluation of professional practices campaign and the SFGG vote

Asymptomatic urinary tract infections should be neither screened for nor treated.

There is no indication for prolonged treatment with anxiolytics. In the case of ongoing treatment, the value of weaning and the means to achieve it should be explained to the patient.

In the case of behavioural disorders in a patient with dementia syndrome (major neurocognitive disorder), neuroleptics should only be prescribed as a last resort in the event of the failure of non-pharmaceutical measures, for a short period, after analysis of the causes.

Recommendations not chosen after the 2016 evaluation of professional practices campaign

The treatments of frail older adults should be regularly reviewed in light of their expected benefit, the potential risks, and, for preventive treatments, life expectancy.

There is no need to propose enteral nutrition in swallowing disorders that occur in a context of cognitive disorders that arise secondary to a neurodegenerative disease.

Recommendation validated after the 2019 evaluation of professional practices campaign and the SFGG vote

There is no indication to prescribe or to continue statin treatment in people aged over 80 who have never presented cardiovascular incidents (primary prevention).

Recommendation not selected after the SFGG vote

There is no indication to prescribe or to continue antiplatelet agents in primary prevention in non-diabetics over 75 years of age.

Recommendation by users

Starting from the first days of admission to hospital or to a care home, there should be a dialogue with the patient (and, if he/she wishes, with family carers) on the nature of the care to be implemented, so that the care is based on the patient’s needs and expectations.