Skip to main content
Journal cover image

Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative.

Publication ,  Journal Article
Landercasper, J; Bailey, L; Berry, TS; Buras, RR; Degnim, AC; Fayanju, OM; Froman, J; Gass, J; Greenberg, C; Mautner, SK; Krontiras, H; Rao, R ...
Published in: Annals of surgical oncology
October 2016

Current breast cancer care is based on high-level evidence from randomized, controlled trials. Despite these data, there continues to be variability of breast cancer care, including overutilization of some tests and operations. To reduce overutilization, the American Board of Internal Medicine Choosing Wisely (®) Campaign recommends that professional organizations provide patients and providers with a list of care practices that may not be necessary. Shared decision making regarding these services is encouraged.The Patient Safety and Quality Committee of the American Society of Breast Surgeons (ASBrS) solicited candidate measures for the Choosing Wisely (®) Campaign. The resulting list of "appropriateness" measures of care was ranked by a modified Delphi appropriateness methodology. The highest-ranked measures were submitted to and later approved by the ASBrS Board of Directors. They are listed below.(1) Don't routinely order breast magnetic resonance imaging in new breast cancer patients. (2) Don't routinely excise all the lymph nodes beneath the arm in patients having lumpectomy for breast cancer. (3) Don't routinely order specialized tumor gene testing in all new breast cancer patients. (4) Don't routinely reoperate on patients with invasive cancer if the cancer is close to the edge of the excised lumpectomy tissue. (5) Don't routinely perform a double mastectomy in patients who have a single breast with cancer.The ASBrS list for the Choosing Wisely (®) campaign is easily accessible to breast cancer patients online. These measures provide surgeons and their patients with a starting point for shared decision making regarding potentially unnecessary testing and operations.

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Annals of surgical oncology

DOI

EISSN

1534-4681

ISSN

1068-9265

Publication Date

October 2016

Volume

23

Issue

10

Start / End Page

3112 / 3118

Related Subject Headings

  • Surgical Oncology
  • Societies, Medical
  • Reoperation
  • Quality Indicators, Health Care
  • Prophylactic Mastectomy
  • Patient Participation
  • Oncology & Carcinogenesis
  • Neoplasm, Residual
  • Mastectomy, Segmental
  • Margins of Excision
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Landercasper, J., Bailey, L., Berry, T. S., Buras, R. R., Degnim, A. C., Fayanju, O. M., … Chen, S. L. (2016). Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative. Annals of Surgical Oncology, 23(10), 3112–3118. https://doi.org/10.1245/s10434-016-5327-8
Landercasper, Jeffrey, Lisa Bailey, Tiffany S. Berry, Robert R. Buras, Amy C. Degnim, Oluwadamilola M. Fayanju, Joshua Froman, et al. “Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative.Annals of Surgical Oncology 23, no. 10 (October 2016): 3112–18. https://doi.org/10.1245/s10434-016-5327-8.
Landercasper J, Bailey L, Berry TS, Buras RR, Degnim AC, Fayanju OM, et al. Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative. Annals of surgical oncology. 2016 Oct;23(10):3112–8.
Landercasper, Jeffrey, et al. “Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative.Annals of Surgical Oncology, vol. 23, no. 10, Oct. 2016, pp. 3112–18. Epmc, doi:10.1245/s10434-016-5327-8.
Landercasper J, Bailey L, Berry TS, Buras RR, Degnim AC, Fayanju OM, Froman J, Gass J, Greenberg C, Mautner SK, Krontiras H, Rao R, Sowden M, Tjoe JA, Wexelman B, Wilke L, Chen SL. Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative. Annals of surgical oncology. 2016 Oct;23(10):3112–3118.
Journal cover image

Published In

Annals of surgical oncology

DOI

EISSN

1534-4681

ISSN

1068-9265

Publication Date

October 2016

Volume

23

Issue

10

Start / End Page

3112 / 3118

Related Subject Headings

  • Surgical Oncology
  • Societies, Medical
  • Reoperation
  • Quality Indicators, Health Care
  • Prophylactic Mastectomy
  • Patient Participation
  • Oncology & Carcinogenesis
  • Neoplasm, Residual
  • Mastectomy, Segmental
  • Margins of Excision