Electronic Health Record–Based Nudge Intervention and Axillary Surgery in Older Women With Breast Cancer
Neil Carleton,
Thomas R. Radomski,
Danyang Li
et al.
Abstract:ImportanceChoosing Wisely recommendations advocate against routine use of axillary staging in older women with early-stage, clinically node-negative (cN0), hormone receptor–positive (HR+), and HER2-negative breast cancer. However, rates of sentinel lymph node biopsy (SLNB) in this population remain persistently high.ObjectiveTo evaluate whether an electronic health record (EHR)–based nudge intervention targeting surgeons in their first outpatient visit with patients meeting Choosing Wisely criteria decreases r… Show more
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