Clinical Edge

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EHR Default Order Reduces Unnecessary Imaging During Palliative RT

Key clinical point: Adding a default order in the EHR that specified no daily imaging during palliative radiotherapy reduced unnecessary imaging.

Major finding: Compared with patients treated in preintervention periods, patients treated in intervention periods had sharply reduced odds of daily imaging during palliative radiotherapy (adjusted odds ratio, 0.37; P = .003).

Study details: A stepped-wedge, cluster-randomized, controlled trial among 21 radiation oncologists from five practices and 1,019 patients who received 1,188 palliative radiotherapy courses.

Disclosures: Dr. Sharma reported that she had no relevant conflicts of interest. The study was funded in part by the National Cancer Institute and the Uni-versity of Pennsylvania Health System through the Penn Medicine Nudge Unit and the department of radiation oncology.


Sharma S et al. JAMA Oncol. 2019 Jun 27. doi:10.1001/jamaoncol.2019.1432.