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Table 2 List of the fifteen items obtained after the second Delphi vote

From: A top 5 list for French general practice

Care procedure

Indications

Grade given by the panel during the final step

Prescription of antibioticsa

Acute bronchitis, nasopharyngitis, otitis media with effusion, uncomplicated influenza

88

Prostate Specific Antigen (PSA) testinga

In systematic screening of prostate cancer in men older than 50, with no information given to the patient regarding the benefits and risks

69

Prescription of cholinesterase inhibitors and memantinea

Mild cognitive impairment and Alzheimer’s disease

62

Prescription of statinsa

Primary prevention of cardio-vascular risk in older patients

43

Prescription of benzodiazepine and benzodiazepine-like agents a

For insomnia

38

For generalised anxiety

In older patients, for all indications

Prescription of Dipeptidyl Peptidase-4 inhibitors (DPP-4 inhibitors)

Type 2 diabetes

36

Prescription of a homeopathic treatment (Influenzinum)

Flu prevention

35

Prescription of antitussive or expectorants agents

For acute cough or acute bronchitis care

28

Long-term prescription of proton pump inhibitors

Without reviewing the indication

28

Prescription of vasodilator agents

Peripheral Arterial Disease

23

Prescription of tramadol or tramadol with paracetamol

Pain care in older patients

20

Prescription of lumbar scanner

Low back pain evolving for less than 6 weeks

16

Prescription of allopurinol

Asymptomatic hyperuricemia in prevention of gout attack, renal hypertension, cardio-vascular disease

16

Prescription of a non-steroidal anti-inflammatory agent (NSAID)

Symptomatic treatment of acute sinusitis and pharyngitis

14

Mammography

Systematic screening for breast cancer in women with no information given to the patient regarding the benefits and risks

9

  1. aIncluded in the Top 5 list