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Table 3 De-adoption terms (n = 43) and frequency of their use within included citations

From: Towards understanding the de-adoption of low-value clinical practices: a scoping review

Terma

Number (%) of 109 citationsb

Number (%) of citations with term listed in title or abstract

Relationship to the proposed conceptual framework

References

Disinvest*

42 (39)

34 (31)

Facilitate de-adoption

[7, 8, 19, 20, 23, 42, 4681]

Sustain de-adoption

Decrease use

26 (24)

13 (12)

Facilitate de-adoption

[8, 2628, 31, 33, 35, 37, 80, 8299]

Evaluate de-adoption outcomes

Discontinu*

17 (16)

7 (6)

Facilitate de-adoption

[8, 18, 20, 23, 25, 28, 51, 56, 61, 63, 91, 94, 96, 100103]

Evaluate de-adoption outcomes

Abandon*

17 (16)

4 (4)

Sustain de-adoption

[31, 54, 58, 63, 65, 84, 86, 97, 98, 100, 101, 103108]

Reassess*

15 (14)

8 (7)

Identify low-value practices

[8, 18, 23, 46, 52, 58, 59, 68, 71, 80, 102, 108111]

Obsole*

13 (12)

6 (6)

Identify low-value practices

[19, 20, 49, 55, 57, 58, 68, 73, 76, 80, 108, 109, 112]

Medical reversal

12 (11)

7 (6)

Identify low-value practices

[4, 5, 7, 61, 83, 85, 107, 113117]

Contradict

11 (10)

3 (3)

Identify low-value practices

[5, 7, 24, 54, 65, 68, 85, 86, 104, 118, 119]

Re-invest

9 (8)

0 (0)

Sustain de-adoption

[8, 52, 54, 55, 68, 71, 73, 78, 80]

Withdraw*

8 (7)

8 (7)

Facilitate de-adoption

[2936]

Sustain de-adoption

Reduc*

8 (7)

1 (1)

Evaluate de-adoption outcomes

[31, 32, 3436, 120, 121]

Decline in use

7 (6)

0 (0)

Evaluate de-adoption outcomes

[96, 98, 99, 103, 120, 122, 123]

Health technology reassessment

5 (5)

4 (4)

Identify low-value practices

[52, 58, 59, 71, 110]

Change in use

4 (4)

2 (2)

Evaluate de-adoption outcome

[32, 118, 121, 124]

De-implement*

4 (4)

2 (2)

Facilitate de-adoption

[50, 65, 125, 126]

De-list

4 (4)

0 (0)

Facilitate de-adoption

[57, 68, 80, 109]

Sustain de-adoption

Low value practice/intervention

4 (4)

2 (2)

Identify low-value practices

[7, 70, 78, 127]

Change in practice

3 (3)

1 (1)

Evaluate de-adoption outcome

[36, 103, 118]

De-adopt*

3 (3)

2 (2)

Facilitate de-adoption

[18, 100, 128]

Evaluate de-adoption outcomes

De-commission

3 (3)

1 (1)

Facilitate de-adoption

[68, 72, 80]

Sustain de-adoption

Do not do

3 (3)

1 (1)

Facilitate de-adoption

[21, 22, 56]

Reallocation

3 (3)

0 (0)

Sustain de-adoption

[58, 73, 109]

Remov*

3 (3)

0 (0)

Facilitate de-adoption

[29, 33, 37]

Sustain de-adoption

Replace

3 (3)

0 (0)

Facilitate de-adoption

[4, 111, 114]

Sustain de-adoption

Refute

3 (3)

1 (1)

Identify low-value practices

[24, 83, 104]

Over use

3 (3)

0 (0)

Identify low-value practices

[37, 127, 129]

Stop*

3 (3)

1 (1)

Facilitate de-adoption

[35, 77, 124]

Inappropriate use

2 (2)

1 (1)

Identify low-value practices

[112, 129]

Relinquish*

2 (2)

1 (1)

Facilitate de-adoption

[97, 98]

Sustain de-adoption

Ineffective

2 (2)

1 (1)

Identify low-value practices

[19, 29]

Misuse

1 (1)

0 (0)

Identify low-value practices

[127]

Re-appraisal

1 (1)

0 (0)

Identify low-value practices

[79]

Re-prioritization

1 (1)

0 (0)

Sustain de-adoption

[79]

Substitutional re-investment

1 (1)

0 (0)

Facilitate de-adoption

[79]

Sustain de-adoption

Evidence-based reassessment

1 (1)

0 (0)

Identify low-value practices

[79]

Clinical redesign

1 (1)

0 (0)

Facilitate de-adoption

[79]

Disadoption

1 (1)

0 (0)

Facilitate de-adoption

[101]

Defunding

1 (1)

0 (0)

Facilitate de-adoption

[57]

Sustain de-adoption

Resource release

1 (1)

0 (0)

Facilitate de-adoption

[57]

Sustain de-adoption

Withdrawing from a service and redeploying resources

1 (1)

0 (0)

Facilitate de-adoption

[57]

Sustain de-adoption

Redeploy

1 (1)

1 (1)

Facilitate de-adoption

[68]

Sustain de-adoption

Reversal

1 (1)

0 (0)

Identify low-value practices

[96]

Facilitate de-adoption

Sustain de-adoption

Drop in use

1 (1)

0 (0)

Facilitate de-adoption

[31]

Evaluate de-adoption

  1. a*wildcard notation denotes multiple endings for a given term
  2. bPercentages do not total 100 owing to the appearance of multiple terms within individual citations