The American Society of Hematology (ASH) and the American Society of Pediatric Hematology/Oncology (ASPHO) released a list on reducing unnecessary tests and procedures in the pediatric population. The new Choosing Wisely list was developed after ASH and ASPHO formed a task force to solicit, evaluate, and select list items for a pediatric focused Choosing Wisely list. The panel was composed of 13 members that consisted of two co-chairs, representing ASH and ASPHO, five members selected by each organization, and one member serving as an advisor on Choosing Wisely methodology. Suggestions were solicited from the membership of both societies.
Formal systematic reviews of the evidence were completed for eight semi-finalist items. The final item selections were made by the ASH-ASPHO Choosing Wisely task force with reference to the following six guiding principles: avoiding harm to patients, producing evidence-based recommendations, considering both the cost and frequency of tests and treatments, making recommendations in the clinical purview of the hematologist, and considering the potential impact of recommendations. Harm avoidance was established as the campaign’s preeminent guiding principle.