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 to 2015 imaging utilization in low-risk patients decreased, with computed tomography (CT) usage declining from 45.0% to 34.4% (P < 0.001) and nuclear medicine bone scan (NMBS) from 27.8% to 11.7% (P < 0.001). Choosing Wisely likely contributed to an absolute reduction of 2.9% (P=0.03) in utilization of NMBS in the low-risk population. Imaging usage for all modalities increased in the high-risk population, but with 32.8% continuing to not receive guideline-supported imaging. Conclusions: In 2012, the Choosing Wisely campaign sought to decrease inappropriate staging imaging for men with low-risk prostate cancer and encourage stewardship of medical resources. Overall decreases in staging imaging trends suggest a move towards higher value care. However, this study found that the Choosing Wisely recommendations had a modest impact on utilization of NMBS, but not CT or PET scans. These results may help inform future efforts to promote guideline concordant imaging. (c) 2022 Elsevier Inc. All rights reserved.
机构:
Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Powis, Melanie Lynn
Fazelzad, Rouhi
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Univ Hlth Network, Lib & Informat Serv, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Fazelzad, Rouhi
Krzyzanowska, Monika K.
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Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Univ Toronto, Dept Med, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Krzyzanowska, Monika K.
Kukreti, Vishal
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h-index: 0
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Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Univ Toronto, Dept Med, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
机构:
US Dept Vet Affairs, Washington, DC USA
NYU, Sch Med, Dept Urol, New York, NY 10003 USA
NYU, Sch Med, Dept Populat Hlth, New York, NY USA
NYU, Inst Canc, New York, NY USAUS Dept Vet Affairs, Washington, DC USA
Makarov, Danil V.
Soulos, Pamela R.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
Soulos, Pamela R.
Gold, Heather T.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Sch Med, Dept Populat Hlth, New York, NY USA
NYU, Inst Canc, New York, NY USA
Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA
NYU, Sch Med, Dept Med, New York, NY USAUS Dept Vet Affairs, Washington, DC USA
Gold, Heather T.
Yu, James B.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Therapeut Radiol, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
Yu, James B.
Sen, Sounok
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h-index: 0
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Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USAUS Dept Vet Affairs, Washington, DC USA
Sen, Sounok
Ross, Joseph S.
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h-index: 0
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Yale New Haven Med Ctr, Ctr Outcomes Res & Evaluat, New Haven, CT 06504 USA
Yale Univ, Sch Med, Dept Med, Gen Internal Med Sect, New Haven, CT 06510 USA
Yale Univ, Dept Hlth Policy & Management, Sch Publ Hlth, New Haven, CT USAUS Dept Vet Affairs, Washington, DC USA
Ross, Joseph S.
Gross, Cary P.
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h-index: 0
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Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
Song, Wan
Kim, Jun-Seop
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Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
Kim, Jun-Seop
Ko, Kwang Jin
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Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
机构:
Brigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
DAmico, Anthony V.
Chen, Ming-Hui
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h-index: 0
机构:
Univ Connecticut, Dept Stat, Storrs, CT 06269 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Chen, Ming-Hui
Renshaw, Andrew A.
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机构:
Dana Farber Canc Inst, Boston, MA 02115 USA
Brigham & Womens Hosp, Dept Pathol, Boston, MA 02215 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Renshaw, Andrew A.
Loffredo, Marian
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Loffredo, Marian
Kantoff, Philip W.
论文数: 0引用数: 0
h-index: 0
机构:
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
机构:
Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Powis, Melanie Lynn
Fazelzad, Rouhi
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h-index: 0
机构:
Univ Hlth Network, Lib & Informat Serv, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Fazelzad, Rouhi
Krzyzanowska, Monika K.
论文数: 0引用数: 0
h-index: 0
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Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Univ Toronto, Dept Med, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Krzyzanowska, Monika K.
Kukreti, Vishal
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h-index: 0
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Univ Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
Univ Toronto, Dept Med, Toronto, ON, CanadaUniv Hlth Network, Princess Margaret Canc Ctr, Canc Qual Lab CQuaL, Toronto, ON, Canada
机构:
US Dept Vet Affairs, Washington, DC USA
NYU, Sch Med, Dept Urol, New York, NY 10003 USA
NYU, Sch Med, Dept Populat Hlth, New York, NY USA
NYU, Inst Canc, New York, NY USAUS Dept Vet Affairs, Washington, DC USA
Makarov, Danil V.
Soulos, Pamela R.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
Soulos, Pamela R.
Gold, Heather T.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Sch Med, Dept Populat Hlth, New York, NY USA
NYU, Inst Canc, New York, NY USA
Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA
NYU, Sch Med, Dept Med, New York, NY USAUS Dept Vet Affairs, Washington, DC USA
Gold, Heather T.
Yu, James B.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Therapeut Radiol, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
Yu, James B.
Sen, Sounok
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USAUS Dept Vet Affairs, Washington, DC USA
Sen, Sounok
Ross, Joseph S.
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h-index: 0
机构:
Yale New Haven Med Ctr, Ctr Outcomes Res & Evaluat, New Haven, CT 06504 USA
Yale Univ, Sch Med, Dept Med, Gen Internal Med Sect, New Haven, CT 06510 USA
Yale Univ, Dept Hlth Policy & Management, Sch Publ Hlth, New Haven, CT USAUS Dept Vet Affairs, Washington, DC USA
Ross, Joseph S.
Gross, Cary P.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Canc Outcomes Publ Policy & Effectiveness Res COP, New Haven, CT USA
Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, New Haven, CT 06510 USAUS Dept Vet Affairs, Washington, DC USA
机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
Song, Wan
Kim, Jun-Seop
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h-index: 0
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Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
Kim, Jun-Seop
Ko, Kwang Jin
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h-index: 0
机构:
Sungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South KoreaSungkyunkwan Univ, Samsung Med Ctr, Dept Urol, Sch Med, Seoul 06351, South Korea
机构:
Brigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
DAmico, Anthony V.
Chen, Ming-Hui
论文数: 0引用数: 0
h-index: 0
机构:
Univ Connecticut, Dept Stat, Storrs, CT 06269 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Chen, Ming-Hui
Renshaw, Andrew A.
论文数: 0引用数: 0
h-index: 0
机构:
Dana Farber Canc Inst, Boston, MA 02115 USA
Brigham & Womens Hosp, Dept Pathol, Boston, MA 02215 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Renshaw, Andrew A.
Loffredo, Marian
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA
Loffredo, Marian
Kantoff, Philip W.
论文数: 0引用数: 0
h-index: 0
机构:
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Radiat Oncol, Boston, MA 02215 USA