# OnCo record idea-prev-omit-radiotherapy-low-risk-breast-default (idea). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)". Whole corpus: https://onco.cc/api/v1/onco.nt
@prefix schema: <https://schema.org/> .
@prefix onco: <https://onco.cc/ns#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

<https://onco.cc/ideas/idea-prev-omit-radiotherapy-low-risk-breast-default/>
  a schema:CreativeWork ;
  onco:kind "idea" ;
  schema:identifier "idea-prev-omit-radiotherapy-low-risk-breast-default" ;
  schema:name "Make skipping radiotherapy the default for very low-risk breast cancer"@en ;
  schema:description "Trials show older women with the lowest-risk breast cancers gain almost nothing from radiotherapy after lumpectomy. Yet most still get it. Track and reward omission."@en ;
  schema:url <https://onco.cc/ideas/idea-prev-omit-radiotherapy-low-risk-breast-default/> ;
  schema:dateModified "2026-09-08"^^xsd:date ;
  schema:citation <https://doi.org/10.1093/jnci/djq099>, <https://www.nice.org.uk/guidance/ng101/chapter/Recommendations>, <https://doi.org/10.1016/j.jss.2020.07.023> ;
  onco:tag "protocol-upgrade", "upgrade:proven-unevenly-used", "evidence:strong" ;
  onco:related <https://onco.cc/ideas/idea-pu-five-fraction-breast-default/> ;
  onco:cancers <https://onco.cc/cancers/breast-hr-positive/> ;
  onco:sections <https://onco.cc/fronts/radiation/> ;
  onco:institutions <https://onco.cc/institutions/nice/> ;
  onco:terms <https://onco.cc/terms/pam50/>, <https://onco.cc/terms/radiotherapy-omission-early-breast-cancer/> ;
  onco:trials <https://onco.cc/trials/lumina/> ;
  onco:bottlenecks <https://onco.cc/bottlenecks/b-overdiagnosis/>, <https://onco.cc/bottlenecks/b-toxicity-qol/>, <https://onco.cc/bottlenecks/b-incentive-misalignment/> ;
  onco:keyPapers <https://onco.cc/key-papers/paper-lumina-n-engl-j-med-2023/>, <https://onco.cc/key-papers/paper-welch-j-natl-cancer-inst/> .