Intended for healthcare professionals

Letters Overcoming overuse

Persuading the public that less is more

BMJ 2018; 362 doi: (Published 12 July 2018) Cite this as: BMJ 2018;362:k2956
  1. Adrian C Traeger, NHMRC early career research fellow
  1. University of Sydney, KGV Building, Missenden Road, Camperdown, NSW 2050, Australia
  1. adrian.traeger{at}

Woloshin and Schwartz, alongside other “less is more” crusaders, place great faith in sharing decisions as a way forward in the fight against overdiagnosis.1 I consider myself such a crusader, but I am less optimistic about the promise of shared decision making. Diagnostic imaging of non-serious lower back pain, for example, is massively overused, and it offers …

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