Impact of choosing wisely on imaging in men with newly diagnosed prostate cancer

Autor: Suzanne M. Lange, Mouneeb M. Choudry, Trevor C. Hunt, Jacob P. Ambrose, Benjamin A. Haaland, William T. Lowrance, Heidi A. Hanson, Brock B. O'Neil
Rok vydání: 2023
Předmět:
Zdroj: Urol Oncol
ISSN: 1078-1439
2007-2015
DOI: 10.1016/j.urolonc.2022.09.007
Popis: INTRODUCTION: Encouraging the appropriate use of staging imaging in patients with newly diagnosed prostate cancer remains a challenge. Assessing the effects of national efforts may help guide future initiatives in curtailing low-value care. The purpose of this study was to determine the impact of the Choosing Wisely campaign on imaging utilization among men with prostate cancer. METHODS: Surveillance, Epidemiology, and End Results – Medicare data were used to complete a longitudinal population-based study of men diagnosed with prostate cancer from 2007 to 2015. An interrupted time series analysis evaluated the impact of the Choosing Wisely campaign on trends of imaging utilization. RESULTS: From 2007-2015 imaging utilization in low-risk patients decreased, with computed tomography (CT) usage declining from 45.0% to 34.4% (p
Databáze: OpenAIRE