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Choosing wisely in oncology: necessity and obstacles
Piercarlo Saletti1, Piero Sanna2, Luca Gabutti3
1Medical Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
ESMO Open
|July 19, 2018
Summary
Choosing Wisely (CW) recommendations can improve cancer care by reducing the overuse of diagnostic procedures and treatments. This approach enhances the doctor-patient relationship and promotes more appropriate cancer management.
Area of Science:
- Oncology
- Medical Ethics
- Health Services Research
Background:
- Cancer patient survival has improved due to advances in diagnostics and therapy.
- However, for advanced-stage cancers, treatment benefits may be modest and should be balanced against procedure-related discomfort.
- Encouraging dialogue about potential overuse of procedures and treatments is crucial in oncology.
Purpose of the Study:
- To review the literature on the adequacy of cancer screening, diagnostic, treatment, and follow-up procedures.
- To assess the potential impact of the Choosing Wisely (CW) campaign on these oncological practices.
- To explore obstacles and strategies for developing CW in cancer care.
Main Methods:
- Literature review focusing on adequacy of oncological procedures.
- Analysis of the impact of Choosing Wisely (CW) recommendations.
- Exploration of treatment appropriateness evaluation methods.
- Review of obstacles and strategies for CW implementation in oncology.
Main Results:
- The Choosing Wisely (CW) campaign offers recommendations to improve the appropriateness of oncological care.
- Evidence suggests potential benefits in optimizing screening, diagnostic, and follow-up procedures.
- Addressing overuse can enhance the therapeutic relationship and patient management.
Conclusions:
- The Choosing Wisely (CW) initiative holds promise for optimizing cancer care by promoting judicious use of medical interventions.
- Further development and implementation strategies are needed to maximize its impact in oncology.
- Enhancing the doctor-patient dialogue is key to achieving more appropriate cancer management.
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