CHOOSING WISELY® CAMPAIGN


The American Society of Breast Surgeons Releases List of Five Things Clinicians and Patients Should Question


The American Society of Breast Surgeons recently released its first list of specific tests or procedures that clinicians and patients should question as part of Choosing Wisely®, an initiative of the ABIM Foundation and Consumer Reports. The Society’s list was developed over the last year after careful consideration and review, using the most current evidence about management and treatment options. The list identifies five targeted, evidence-based recommendations that can support conversations between patients and clinicians about what care is really necessary.

The Society identified the following five recommendations:

  • Don’t routinely order breast MRI in new breast cancer patients.
  • Don’t routinely excise all lymph nodes beneath the arm in patients having lumpectomy for breast cancer
  • Don’t routinely order specialized tumor gene testing in all new breast cancer patients.
  • Don’t routinely re-operate on patients with invasive cancer if the cancer is close to the edge of the excised lumpectomy tissue. 
  • Don’t routinely perform a double mastectomy in patients who have a single breast with cancer.

View the Society’s list of Five Things Clinicians and Patients Should Question to learn more about how the list was developed. The Society’s complete recommendations and methods were also published online ahead of print in the Annals of Surgical Oncology.

Learn more about the Choosing Wisely® campaign at www.ChoosingWisely.org

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