Choosing Wisely: Two Medical Societies Issue Lists of Questionable Cancer Services

The American College of Surgeons (ACS) and the Commission on Cancer (CoC) have issued separate lists of five specific recommendations for tests or procedures that are commonly ordered but not always necessary in surgery and surgical oncology as part of the Choosing Wisely campaign. The goal of questioning these potentially unnecessary—and sometimes harmful—services is to promote conversations between patients and physicians about what is actually necessary. Having a discussion about any of these services is expected to improve the physician/patient relationship and provide higher-quality care while reducing waste and overuse in the healthcare system.