S.C.A.R.E. aims at “Choosing Wisely – Caring from knowledge”

  • Luz María Gómez Buitrago Scientific directorship, Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.). Bogotá, Colombia. https://orcid.org/0000-0002-5156-3829
  • Nubia Fernanda Sánchez Bello Anesthesia and Perioperative Research Group, Research and Scientific Publications Area, Colombian Society of Anesthesiology and Resuscitation, (S.C.A.R.E.). Bogotá, Colombia. https://orcid.org/0000-0002-4906-2144
  • Jorge Rubio Elorza National Board of Directors. Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.). Bogotá, Colombia.
Keywords: Decision making, Patient care, Low-value care, Medical overuse, Colombia, Anesthesiology


The Choosing Wisely initiative has become a significant benchmark as a strategy to reduce low value tests and therapies. An original initiative of the American Board of Internal Medicine (ABIM) which has been growing gradually and is now present in over 18 countries, with the support of more than 80 scientific societies around the world.

In Colombia, the strategy is being accepted by the Colombian Association of Scientific Societies (ACSC), which with the support of six pioneer Colombian scientific societies, have encouraged the development and implementation of “do not do recommendations”, with a view to fulfil the right to self-regulation of human resources in healthcare, reducing those medical behaviors that could be ineffective or harmful to the patient.

This article is an overview of the most significant items of the initiative which has been conducted by the ACSC, with the support of the Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.) as a pioneer.


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Santhirapala R, Fleisher LA, Grocott MPW. Choosing Wisely: just because we can, does it mean we should? Br J Anaesth. 2019;122(3):306-10. doi: 10.1016/j.bja.2018.11.025

Congreso de la República de Colombia. Ley Estatutaria de Salud 1751 de 2015 [Internet]. 2015. Available at: https://www.minsalud.gov.co/Normatividad_Nuevo/Ley 1751 de 2015.pdf

Choosing Wisely International Learning Network. Starter Kit for your Choosing Wisely Campaign [Internet]. 2017. Available at: https://choosingwiselycanada.org/wp-content/uploads/2017/03/English-CWILN-starter-kit-.pdf

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Asociación Colombiana de Sociedades Científicas. Documento de referencia para la implementación de la iniciativa en las Sociedades científicas [Internet]. Decisiones Acertadas. Cuidando desde el conocimiento. 2022. Available at: http://decisionesacertadas.sociedadescientificas.com/wp-content/uploads/2022/05/Decisiones-Acertadas-Documento_Referencia_Mayo-17-2022.pdf

Brady MC, Kinn S, Stuart P, Ness V. Preoperative fasting for adults to prevent perioperative complications. Cochrane database Syst Rev. 2003;(4). doi: https://doi.org/10.1002/14651858.CD004423

Beliveau L, Buddenhagen D, Moore B, Davenport D, Burton M, Duane T. Decreasing resource utilization without compromising care through minimizing preoperative laboratories. Am Surg. 2018;84(7):1185-8. doi: https://doi.org/10.1177/000313481808400735

Nelson SE, Li G, Shi H, Terekhov M, Ehrenfeld JM, Wanderer JP. The impact of reduction of testing at a Preoperative Evaluation Clinic for elective cases: Value added without adverse outcomes. J Clin Anesth. 2019;55:92-9. doi: www.doi.org/10.1016/j.jclinane.2018.12.027

Chung F, Yuan H, Yin L, Vairavanathan S, Wong DT. Elimination of preoperative testing in ambulatory surgery. Anesth Analg. 2009;108(2):467-75. doi: www.doi.org/10.1213/ane.0b013e318176bc19

Mutukwa T, Gonah L, Ndhlala AR, Saurombe DT. Is oxygen supplementation necessary for patients under spinal anaesthesia?-A prospective hospital-based study. Med J Zambia. 2017;44(1):45-51. Available at: https://www.ajol.info/index.php/mjz/article/view/157404

Chatmongkolchart S, Prathep S. Supplemental oxygen for caesarean section during regional anaesthesia. Cochrane Database Syst Rev. 2016;(3). doi: www.doi.org/10.1002/14651858.CD006161.pub3

Ministerio de Salud y Protección Social. Uso e interpretación de la oximetría de pulso [Internet]. 2016. Available at: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/uso-interprtn-oximetria-pulso.pdf

Trompetero González AC, Cristancho Mejía E, Benavides Pinzón WF, Serrato M, Landinéz MP, Rojas J. Comportamiento de la concentración de hemoglobina, el hematocrito y la saturación de oxígeno en una población universitaria en Colombia a diferentes alturas. Nutr Hosp. 2015;32(5):2309-18. doi: www.doi.org/10.3305/nh.2015.32.5.9711

American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Practice guidelines for perioperative blood transfusion and adjuvant therapies: An updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Anesthesiology. 2006;105(1):198-208. doi: https://doi.org/10.1097/00000542-200607000-00030

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Carson JL, Stanworth SJ, Dennis JA, Trivella M, Roubinian N, Fergusson DA, et al. Transfusion thresholds for guiding red blood cell transfusion. Cochrane Database Syst Rev. 2021;(12). doi: https://doi.org//10.1002/14651858.CD002042.pub5

Segal JB, Dzik WH, Network TMCT. Paucity of studies to support that abnormal coagulation test results predict bleeding in the setting of invasive procedures: an evidence‐based review. Transfusion. 2005;45(9):1413-25. doi: www.doi.org/10.1111/j.1537-2995.2005.00546.x

Green L, Bolton-Maggs P, Beattie C, Cardigan R, Kallis Y, Stanworth SJ, et al. British Society of Haematology Guidelines on the spectrum of fresh frozen plasma and cryoprecipitate products: their handling and use in various patient groups in the absence of major bleeding. Br J Haematol. 2018;181(1):54-67. doi: www.doi.org/10.1111/bjh.15167

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How to Cite
Gómez Buitrago LM, Sánchez Bello NF, Rubio Elorza J. S.C.A.R.E. aims at “Choosing Wisely – Caring from knowledge”. Colomb. J. Anesthesiol. [Internet]. 2023 May 17 [cited 2024 Apr. 20];51(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1075


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How to Cite
Gómez Buitrago LM, Sánchez Bello NF, Rubio Elorza J. S.C.A.R.E. aims at “Choosing Wisely – Caring from knowledge”. Colomb. J. Anesthesiol. [Internet]. 2023 May 17 [cited 2024 Apr. 20];51(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1075


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