Table 2

Appraisal of Choosing Wisely Canada patient materials (n=24) using IPDASi V.4.0

ItemCheck-ups37Preventing infections48 Lower back pain38Bone-density tests39Colonoscopy40Electrocardiogram41Pap tests42Low-risk prostate cancer43Heart tests before surgery44Laboratory tests before surgery45Vitamin D tests46Chronic kidney disease25Feeding tubes26Dementia27End of life28Imaging tests for headaches47GERD29Osteoarthritis30Pain medicines31Palliative care32Sinusitis33Insomnia and anxiety34ED35UTIs36Total
Qualifying criteria
 1.1.1Describes health condition or problem24
 1.1.2Explicitly states the decision that needs to be considered3
 1.1.3Describes the options available22
 1.1.4Describes the positive features (benefits/advantages) of each option18
 1.1.5Describes the negative features (harms, side effects, or disadvantages) of each option21
 1.2.1Describes what it is like to experience the consequences of the options (physical, psychological, social)*√*11
Certification criteria
 2.1.1Shows the negative and positive features of options in equal detail0
 2.2.1Provides citations to the evidence selected†0
 2.2.2Provides a publication date24
 2.2.3Provides an update policy0
 2.2.4Provides information about the levels of uncertainty around event or outcome probabilities20
 2.3.1Provides information about the funding source used for development24
 2.4.1Describes what the test is designed to measureN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A10
 2.4.2Describes the next steps typically taken if the test detects the conditionN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A10
 2.4.3Describes the next steps if the condition is not detectedN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A2
 2.4.4Has information about the consequences of detecting the condition that would never have occurred if screening had not been done (lead time bias)N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A8
  • *Included explicit preferences and values clarification.

  • †Or associated information.

  • ED, erectile dysfunction; GERD, gastro-oesophageal reflux; IPDASi, modified International Patient Decision Aid Standards; N/A, not applicable; UTI, urinary tract infection.