Resultados de Búsqueda
Don’t deliver care (e.g., follow-up) in a high-cost setting (e.g., inpatient, cancer center) that could be delivered just as effectively in a lower-cost setting (e.g., primary care)
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
For further information please visit the website of the initiative (link below)
ver más ... 2014Don’t initiate whole breast radiotherapy in 25 fractions as a part of breast conservation therapy in women age ≥50 with early stage invasive breast cancer*
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
*without considering shorter treatment schedules. For further information please visit the website of the initiative (link below)
ver más ... 2014Don’t initiate management in patients with low-risk prostate cancer (T1/T2, PSA < 10 ng/ml, and Gleason score < 7) without first discussing active surveillance
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
Patients with localized prostate cancer have a number of reasonable management options. These include surgery, radiation, as well as conservative monitoring without therapy in appropriate patients. Shared decision-making between the patient and the physician can lead to better alignment of patient goals with treatment and more efficient care delivery. The use of patient-directed written decision aids concerning prostate cancer can give patients confidence about their choices, and improve ...
ver más ... 2014Don’t recommend more than a single fraction of palliative radiation for an uncomplicated painful bone metastasis
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
Randomized trials have established that single-fraction radiation to a previously unirradiated, uncomplicated peripheral bone or vertebral metastasis provides comparable pain relief and morbidity compared to multiple-fraction regimens, while optimizing patient and caregiver convenience. Although it results in a higher incidence of retreatment at a later date (20% vs. 8 % for multi-fraction regimens), the decreased patient burden usually outweighs any considerations of long-term effectiveness ...
ver más ... 2014Don’t delay or avoid palliative care for a patient with metastatic cancer because they are pursuing disease-directed treatment
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
Numerous studies—including randomized trials—show that palliative care improves pain and symptom control, improves family satisfaction with care, and reduces costs. Palliative care does not accelerate death, and may prolong life in selected populations. The benefits of disease-directed treatment (e.g., chemotherapy or radiation) can be enhanced by early consideration of palliative care.
ver más ... 2014