В продолжение кампании «Мудрый выбор» (http://www.abimfoundation.org/Initiatives/Choosing-Wisely.aspx) американские онкологи опубликовали список того, что онкологи делать не должны. Из этого основное: — Don’t give antiemetics to patients starting chemotherapies that have low-to-moderate potential for causing symptoms. — In treating metastatic breast cancer, avoid combination chemotherapy unless the patient’s cancer burden needs to be reduced quickly. — Avoid PET scanning in routine follow-up unless there’s «high-level» evidence that the imaging will improve outcomes. — Don’t do PSA testing in asymptomatic men when life expectancy is under 10 years. — Don’t use therapy targeted against a specific genetic aberration unless the patient has specific biomarkers that predict effective response. Полный текст: http://jco.ascopubs.org/content/early/2013/10/29/JCO.2013.53.3943 http://www.asco.org/press-center/asco-publishes-top-five-list-opportunities-improve-quality-and-value-cancer-care