Kherad, OmarCarneiro, António Vaz2022-09-152022-09-152022Eur J Intern Med. 2022 Sep;103:118-1190953-6205http://hdl.handle.net/10451/54476© 2022 Published by Elsevier B.V. on behalf of European Federation of Internal MedicineCW campaigns have indeed spread around the world and several medical societies in Europe launched quality driven anti-waste campaigns such as, Smartermedicine in Switzerland, Slow Medicine in Italy, SMART Medicine Initiative in Israel, “Mais Nem Sempre é Melhor” in Portugal and Choosing Wisely in UK, France, Belgium, Romania, Russian Federation and Poland. The campaigns are centered on conversations between clinicians and patients about unnecessary tests, treatments, and procedures that account for up to 20% of all medical costs. These societies published “top-five lists” of low-value medical interventions that should be avoided.engjournal article10.1016/j.ejim.2022.05.0281879-0828