A scoping review of patient selection methods for proton therapy

AbstractAppropriate patient selection and expedient recanalization are the mainstay of modern management of acute ischemic stroke (AIS). Only a minority of patients (7–15%) of patients are eligible for endovascular therapy. Patient selection may be time based or perfusion based. Central to both paradigms is the selection of a patient with a small core, a significant penumbra that can be differentiated from areas of oligemia. A brief review of patient selection methods is presented. Endovascular thrombectomy techniques using stentrievers or aspiration catheters have now become the treatment of choice for AIS with large vessel occlusion. A range of devices, each with its own advantages and disadvantages, are available in the market for the neurointerventionist to choose. Techniques vary between devices and between operators, but standardization and protocolization are important within each center. Complications must be anticipated to be avoided. Once reperfusion is achieved, outcomes must be safeguarded with competent postprocedure management to prevent secondary brain injury. These aspects are reviewed in this article.

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Simultaneously Integrated Boost and Variable Relative Biological Effectiveness Effects on Normal Tissue Complication Probability-Based Patient Selection for Proton Therapy

International Journal of Radiation Oncology*Biology*Physics ◽

10.1016/j.ijrobp.2019.06.871 ◽

2019 ◽

Vol 105 (1) ◽

pp. E709

Author(s):

J. Ödén ◽

K. Eriksson ◽

I. Toma-Dasu

Keyword(s):

Patient Selection ◽

Proton Therapy ◽

Normal Tissue ◽

Relative Biological Effectiveness ◽

Normal Tissue Complication Probability ◽

Integrated Boost ◽

Biological Effectiveness ◽

Selection For

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OC-0154: Proton therapy patient selection for oropharyngeal cancer patients: the impact of treatment accuracy

Radiotherapy and Oncology ◽

10.1016/s0167-8140(17)30597-2 ◽

2017 ◽

Vol 123 ◽

pp. S77-S78 ◽

Cited By ~ 1

Author(s):

M. Hoogeman ◽

S. Breedveld ◽

M. De Jong ◽

E. Astreinidou ◽

L. Tans ◽

...

Keyword(s):

Cancer Patients ◽

Patient Selection ◽

Proton Therapy ◽

Oropharyngeal Cancer ◽

Selection For ◽

The Impact

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Abstract W MP5: The Global Impact of Recent Intra-Arterial Therapy (IAT) Randomized Controlled Trials on Current and Future Stroke Practice

Stroke ◽

10.1161/str.45.suppl_1.wmp5 ◽

2014 ◽

Vol 45 (suppl_1) ◽

Author(s):

Amrou Sarraj ◽

Wafi Bibars ◽

Amelia K Boehme ◽

Sheryl Martin-Schild ◽

James C Grotta ◽

...

Keyword(s):

Clinical Trials ◽

Randomized Controlled Trials ◽

Patient Selection ◽

Controlled Trials ◽

Selection Methods ◽

Web Based ◽

Clinical Criteria ◽

Global Impact ◽

Randomized Controlled ◽

Stent Retrievers

Background and Objective: Recent RCTs have failed to show benefit of intra-arterial therapy (IAT). We sought to determine whether these trials have affected the views and practice of IAT amongst stroke-treating physicians. Methods: An international web-based survey was sent to 753 stroke-treating physicians across the globe. Results: 322 physicians responded (43% rate); 25% were interventionalists; 80% practice in 24/7 IAT capable centers (fig 1). IAT volume per year prior to the RCTs (fig 2) has now decreased according to nearly half of the respondents. Physicians are now more selective (59%) while a third made no changes in pursuing IAT and 6% “do not pursue IAT anymore” (fig 3). Although 76% still perceive IAT is effective under certain criteria, two thirds said they feel “less obligated” to offer IAT. When asked about the RCTs, respondents felt the devices were outdated (36%), patient selection methods were “not optimal” (32%), recanalization rates could have been better (25%) or the trials should have been better designed (20%). Interestingly, centers currently enrolling in IAT trials intervene on large proportions of patients outside of studies (fig 4). The single most important factor in patient selection is shown in fig 5. Over half prefer a CT modality for patient selection; while 16% chose MRI and 11% use clinical criteria only when deciding to pursue IAT. Finally, three quarters of the contributors said that patients should be taken to IAT only in the context of clinical trials to test its efficacy, 21% said IAT should be continued “outside of trials” and only 3% pronounced it not useful (fig 6). Conclusion: While the results of recent RCTs have changed the views of stroke treating physicians, IAT continues to be practiced worldwide. The majority of our respondents is more selective and awaits results of new trials with the stent retrievers and better selection methods. Despite endorsing the practice of IAT only within trials, over half are still treating cases outside studies.

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Laparoscopic urogynaecology

Urogynaecology ◽

10.1093/med/9780198829065.003.0010 ◽

2020 ◽

pp. 155-164

Author(s):

Helen Jefferis ◽

Natalia Price

Keyword(s):

Laparoscopic Surgery ◽

Patient Selection ◽

Selection Methods ◽

Advantages And Disadvantages ◽

Laparoscopic Procedures

Laparoscopic surgery is well-established in the management of benign gynaecological conditions, and is increasing in use in urogynaecology. This chapter provides an overview of the advantages and disadvantages to laparoscopic surgery for both the surgeon and the patient, and then outlines key considerations in patient selection. Methods of entry are described and compared, and a list of laparoscopic procedures is included, alongside tips for training.

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A scoping review of admission criteria and selection methods in nursing education

BMC Nursing ◽

10.1186/s12912-020-00510-1 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Vahid Zamanzadeh ◽

Akram Ghahramanian ◽

Leila Valizadeh ◽

Farzaneh Bagheriyeh ◽

Marita Lynagh

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Standardized Tests ◽

Scoping Review ◽

Assessment Tools ◽

Future Research ◽

Admission Criteria ◽

Selection Methods ◽

Cognitive Characteristics ◽

Academic Abilities

Abstract Background Nursing education institutions are required to select and train applicants who have appropriate characteristics for delivering effective healthcare. Unlike other healthcare professions and despite the need to attract and select a competent workforce, there has been no comprehensive analysis of the selection criteria and methods used to recruit nursing students. As there is relatively limited prior research available, we conducted a scoping review to explore and synthesise the existing evidence regarding admission criteria and selection methods of nursing students and for the purpose of identifying an agenda for future research in this field. Methods Our scoping review follows the Arksey and O’Malley five-step proposition including identifying the research question and relevant studies, study selection, tabulation of data, and summarizing and reporting the results. Seven databases (PubMed, CINAHL, Scopus, ERIC, SID, Irandoc and PsycINFO) were searched systematically using relevant keywords. Articles on admission of undergraduate nursing students published in both English and/or Persian from 2006 to 2019 were retrieved. Results Existing research evidence suggests that nursing students are largely selected on the basis of two criteria - “cognitive-academic abilities” and “non-cognitive abilities.” Cognitive-academic abilities were assessed in four main dimensions of mathematics, language, natural sciences and reasoning skills mainly through standardized tests and academic records. Our review shows a wide range of non-cognitive characteristics are evaluated in nursing applicants including: morality, interpersonal communication skills and psychological strength. The selection method most commonly used to assess characteristics was through interviews (panel interviews or multiple mini interviews). Other methods included references, personal statements and personality assessment tools. Conclusions This is the first scoping review of literature regarding nursing education selection and recruitment. Results can be used to inform nursing education policymakers and institutions in the design of their selection practices. Future research should concentrate on the evaluation and improvement methods of student selection including content and predictive validity analysis of multiple mini interview and standardized tests, development of cost-effective selection methods and job analysis studies to identify specific non-cognitive characteristics for nursing.

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