A Tribute: Choosing Wisely, 2013-202x(??)

[elementaryschooleconomics]

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Members don't see this ad.

It was brought to my attention that you can no longer find ASTRO's "Choosing Wisely" list on their website.

From a December 2022 PRO article, here are the URLs:

But...that URL is a 404 error:

https://www.astro.org/Patient-Care-and-Research/Patient-Education/2013-Choosing-Wisely-List

https://www.astro.org/Patient-Care-and-Research/Patient-Education/2014-Choosing-Wisely-List

If you shorten the URL to try to just go to "Patient-Education", it redirects to "Provider-Resources" (even though the name of the page is Patient Education).

Interestingly, it appears the ABIM is done with "officially" campaigning for Choosing Wisely as of this year:

https://choosingwisely.org/

That being said, individual societies in other specialties continue on:

The phrase "Choosing Wisely" appears to have been scrubbed from ASTRO's website. It's possible to find older documents referencing it, of course, but it takes a little legwork using the "Search" feature.

I wonder...I wonder why?

Total mystery.

 

[deleted1111261]

I love Astro in situations like this.

They think the internet doesn’t forget

 

[TheWallnerus]

We catch ASTRO "cheating on us" like almost every other day now

Why does anyone want to stay married to ASTRO?

Spousal abuse

 

[elementaryschooleconomics]

"Who cares", some may say.

Just a reminder that whenever ASTRO publishes these things - this is how the Benefit Managers write their guidelines.

Choosing Wisely is why IMRT for breast was never used. Skip directly to protons, I guess.

Ever had to do a P2P for a denial based on number of fractions?

You can thank ASTRO for that.

 

[NotMattSpraker]

"Who cares", some may say.

Just a reminder that whenever ASTRO publishes these things - this is how the Benefit Managers write their guidelines.

Choosing Wisely is why IMRT for breast was never used. Skip directly to protons, I guess.

Ever had to do a P2P for a denial based on number of fractions?

You can thank ASTRO for that.

Its that global warming analogy again.

Who cares, who cares. All little things, it's just a degree, it's just a bad storm.

Hey, did you know leprosy is back? Leprosy May Be Endemic in Central Florida, Scientists Report

I care.

 

[Chartreuse Wombat]

Are you suggesting that ASTRO wiped the website? You know like with a cloth....

 

[evilbooyaa]

I mean... following that logic... at least now the unawashed masses can do IMRT for breast, radiate low-risk pCA, do 15Fx IMRT for bone mets, treat low-risk endometrial cancer(?) with adjuvant RT, and other things that can help an individual non-proton practitioner's bottom line (even if most are not in a patient's best interest)

 

[RickyScott]

Choosing wisely is predicated on overutilization, not prices as being the driver of excessive health care costs and this is totally false. Multiple comparisons between national systems show that by far and away the issue is the prices.

 

[Chartreuse Wombat]

It's the prices, stupid: why the United States is so different from other countries - PubMed

This paper uses the latest data from the Organization for Economic Cooperation and Development (OECD) to compare the health systems of the thirty member countries in 2000. Total health spending--the distribution of public and private health spending in the OECD countries--is presented and...

pubmed.ncbi.nlm.nih.gov

Incorrect diagnosis leads to inappropriate treatment

 

[medgator]

Choosing wisely is predicated on overutilization, not prices as being the driver of excessive health care costs and this is totally false. Multiple comparisons between national systems show that by far and away the issue is the prices.

It's the prices, stupid: why the United States is so different from other countries - PubMed

This paper uses the latest data from the Organization for Economic Cooperation and Development (OECD) to compare the health systems of the thirty member countries in 2000. Total health spending--the distribution of public and private health spending in the OECD countries--is presented and...

pubmed.ncbi.nlm.nih.gov

Incorrect diagnosis leads to inappropriate treatment

Low cost depts/sites of service aren't what make up the majority of ASTRO's membership and ruling class.

Why would they ever care about prices?

 

[RickyScott]

Uwe E Reinhardt supposedly was the most influential health economist ever.

 

[Chartreuse Wombat]

Uwe E Reinhardt supposedly was the most influential health economist ever.

Kenneth Arrow needs to be in the conversation

https://web.stanford.edu/~jay/health_class/Readings/Lecture01/arrow.pdf

 

[sirspamalot]

"Who cares", some may say.

Just a reminder that whenever ASTRO publishes these things - this is how the Benefit Managers write their guidelines.

Choosing Wisely is why IMRT for breast was never used. Skip directly to protons, I guess.

Ever had to do a P2P for a denial based on number of fractions?

You can thank ASTRO for that.

FASTRO?

HELL NO
.. F ASTRO