Choosing Wisely India: ten low-value or harmful practices that should be avoided in cancer care

The Choosing Wisely India campaign was an initiative that was established to identify low-value or potentially harmful practices that are relevant to the Indian cancer health-care system. We undertook a multidisciplinary framework-driven consensus process to identify a list of low-value or harmful c...

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Veröffentlicht in:The lancet oncology 2019-04, Vol.20 (4), p.e218-e223
Hauptverfasser: Pramesh, C S, Chaturvedi, Harit, Reddy, Vijay Anand, Saikia, Tapan, Ghoshal, Sushmita, Pandit, Mrinalini, Babu, K Govind, Ganpathy, K V, Savant, Dhairyasheel, Mitera, Gunita, Sullivan, Richard, Booth, Christopher M
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container_issue 4
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container_title The lancet oncology
container_volume 20
creator Pramesh, C S
Chaturvedi, Harit
Reddy, Vijay Anand
Saikia, Tapan
Ghoshal, Sushmita
Pandit, Mrinalini
Babu, K Govind
Ganpathy, K V
Savant, Dhairyasheel
Mitera, Gunita
Sullivan, Richard
Booth, Christopher M
description The Choosing Wisely India campaign was an initiative that was established to identify low-value or potentially harmful practices that are relevant to the Indian cancer health-care system. We undertook a multidisciplinary framework-driven consensus process to identify a list of low-value or harmful cancer practices that are frequently undertaken in India. A task force convened by the National Cancer Grid of India included Indian representatives from surgical, medical, and radiation oncology. Each specialty had representation from the private and public sectors. The task force included two representatives from national patient and patient advocacy groups. Of the ten practices that were identified, four are completely new recommendations, and six are revisions or adaptations from previous Choosing Wisely USA and Canada lists. Recommendations in the final list pertain to diagnosis and treatment (five practices), palliative care (two practices), imaging (two practices), and system-level delivery of care (two practices). Implementation of this list and reporting of concordance with its recommendations will facilitate the delivery of high-quality, value-based cancer care in India.
doi_str_mv 10.1016/S1470-2045(19)30092-0
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source Elsevier ScienceDirect Journals
subjects Adaptation
Cancer therapies
Chemotherapy
Collaboration
Initiatives
Medical imaging
Medical screening
Metastasis
Oncology
Palliative care
Patients
Physicians
Task forces
title Choosing Wisely India: ten low-value or harmful practices that should be avoided in cancer care
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