Choosing Wisely

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SGO’s 5 tests or procedures to avoid

In October 2013 Choosing Wisely®, an initiative of the ABIM Foundation, released SGO’s Five Things Physicians and Patients Should Question with specific tests or procedures that are commonly ordered but not always necessary in gynecologic oncology. The list identifies five targeted, evidence-based recommendations that can support conversations between patients and physicians about what care is really necessary:

  • Don’t screen low risk women with CA-125 or ultrasound for ovarian cancer.
  • Don’t perform Pap tests for surveillance of women with a history of endometrial cancer.
  • Don’t perform colposcopy in patients treated for cervical cancer with Pap tests of low grade squamous intraepithelial lesion (LGSIL) or less.
  • Avoid routine imaging for cancer surveillance in women with gynecologic cancer, specifically ovarian, endometrial, cervical, vulvar and vaginal cancer.
  • Don’t delay basic level palliative care for women with advanced or relapsed gynecologic cancer, and when appropriate, refer to specialty level palliative medicine.

SGO Choosing Wisely and Consumer Reports

SGO has partnered with Consumer Reports to develop these patient-friendly resources about the first recommendation advising against screening low risk women with CA-125 or ultrasound for ovarian cancer.

SGO Choosing Wisely Wikipedia References

SGO’s Choosing Wisely list has been referenced in the following Wikipedia entries:

SGO Choosing Wisely iTriage References

SGO’s Choosing Wisely list has been referenced in the following entries for the iTriage website and mobile app:

About Choosing Wisely

More than 60 specialty societies have joined the Choosing Wisely campaign since its inception in 2012. To learn more about Choosing Wisely and to view the complete lists and additional detail about the recommendations and evidence supporting them, visit ChoosingWisely.org.

The campaign also continues to reach millions of consumers nationwide through a stable of consumer and advocacy partners, led by Consumer Reports—the world’s largest independent product-testing organization—which has worked with the ABIM Foundation to distribute patient-friendly resources for consumers and physicians to engage in these important conversations.