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Choosing Wisely recommendations in oncology: a scoping review
Fabiola Vasconcelos Alves1, Elaine Barros Ferreira2, Fabio Ynoe de Moraes3
1Faculty of Health Sciences, University of Brasília, Brasília, DF, Brazil. fabiolavalves@gmail.com.
Summary
The Choosing Wisely campaign promotes evidence-based care by reducing unnecessary medical interventions. This review maps oncology recommendations, highlighting a global shift towards personalized, patient-centered cancer treatments.
Area of Science:
- Oncology
- Healthcare Management
- Public Health
Background:
- The Choosing Wisely (CW) campaign aims to reduce healthcare waste and harm by discouraging unnecessary medical interventions.
- Barriers to CW implementation include limited healthcare professional awareness and a lack of global recommendation mapping.
Purpose of the Study:
- To conduct a comprehensive scoping review of Choosing Wisely (CW) recommendations in oncology.
- To map the literature on CW recommendations in oncology from 2012 to 2024.
Main Methods:
- A scoping review methodology was employed.
- Literature was searched for CW recommendations in oncology published between 2012 and 2024.
- Data were extracted from 19 studies and 20 international websites, yielding 220 recommendations.
Main Results:
- A total of 220 CW recommendations in oncology were identified.
- Recommendations emphasize personalizing cancer screening, staging, and treatment based on individual risk factors like life expectancy and biomarker status.
- A global trend towards patient-centered oncology care, focusing on personalized, evidence-based treatments and minimizing unnecessary interventions, was observed.
Conclusions:
- There is a global shift towards personalized, evidence-based oncology care that minimizes unnecessary interventions.
- Developing resource-stratified guidelines is crucial for enhancing CW adoption, especially in low- and middle-income countries.
- Aligning CW recommendations with local healthcare needs and resources is vital for successful implementation.
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