Choosing wisely in oncology: necessity and obstacles.

ESMO Open
Piercarlo SalettiMichele Ghielmini

Abstract

In the last decades, the survival of many patients with cancer improved thanks to modern diagnostic methods and progresses in therapy. Still for several tumours, especially when diagnosed at an advanced stage, the benefits of treatment in terms of increased survival or quality of life are at best modest when not marginal, and should be weighed against the potential discomfort caused by medical procedures. As in other specialties, in oncology as well the dialogue between doctor and patient should be encouraged about the potential overuse of diagnostic procedures or treatments. Several oncological societies produced recommendations similar to those proposed by other medical disciplines adhering to the Choosing Wisely (CW) campaign. In this review, we describe what was reported in the medical literature concerning adequacy of screening, diagnostic, treatment and follow-up procedures and the potential impact on them of the CW. We only marginally touch on the more complex topic of treatment appropriateness, for which several evaluation methods have been developed (including the European Society for Medical Oncology-magnitude of clinical benefit scale). Finally, we review the possible obstacles for the development of CW in the oncolo...Continue Reading

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Citations

Jun 25, 2019·ESMO Open·Christoph C Zielinski
Jun 5, 2020·Journal of General Internal Medicine·Emily NachtigalAmanda Parkes
Jul 25, 2020·Journal of the American Academy of Dermatology·Neha SinghPaul Nghiem
Aug 18, 2021·British Journal of Cancer·John-John B SchnogAshley J Duits

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BETA
hysterectomy
biopsy
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medical procedure

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ESMO
MCBS

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