A nudge intervention using electronic health records could help decrease the number of unnecessary sentinel lymph node biopsies in older women with early-stage breast cancer.
An electronic health record –based nudge intervention could reduce potentially unnecessary sentinel lymph node biopsies among older women with early-stage breast cancer , the authors of new research say.
The intervention was evaluated at eight outpatient clinics within an integrated healthcare system that included seven breast surgical oncologists. On a fundamental level, not all centers use Epic software, which could present issues with compatibility, Dr Wallace said in an interview. More importantly, she added, many institutions already have EHR-based alerts and reminders in place, so it is not always feasible to add a new nudge for every possible clinical scenario.
Although the Society of Surgical Oncology recommends against SLNB in the described demographic, other experts, including Dr Wallace, take a more nuanced view of the decision.
Malignant Breast Neoplasm Breast Carcinoma Electronic Health Records Electronic Health Record EHR Electronic Medical Record EMR Electronic Health Record EHR Computerized Medical Records Systems Computerized Patient Records Digital Personal Health Record PHR Computerised Medical Records Systems Computerised Patient Records Sentinel Lymph Node Biopsy
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