scholarly journals Study of the Spanish Society of Medical Oncology (SEOM) on the access to oncology drugs and predictive biomarkers in Spain

2020 ◽  
Vol 22 (12) ◽  
pp. 2253-2263
Author(s):  
A. Rodríguez-Lescure ◽  
F. A. de la Peña ◽  
E. Aranda ◽  
A. Calvo ◽  
E. Felip ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Benefit ◽  
Medical Oncology ◽  
Predictive Biomarkers ◽  
Autonomous Community ◽  
Spanish Society ◽  
Autonomous Communities ◽  
First Time

Abstract Purpose The Spanish Society of Medical Oncology (SEOM) has carried out a study to analyse the conditions of access to oncology drugs in clinical practice in Spain. For the first time, the access of predictive biomarkers has also been analyzed. Methods A questionnaire was sent to 146 hospitals in Spain to collect information on the process of approval of 11 oncology drugs of an unquestionable clinical benefit and five predictive biomarkers of mandatory determination for specific treatments. Results Results highlight the still existing differences in the access of oncology drugs, as well as the newly identified differences in the access to predictive biomarkers between Autonomous Communities (AACC) in Spain, as well as between different hospitals within the same Autonomous Community. Conclusions The SEOM considers it necessary to reduce the differences identified, increase homogeneity, and improve conditions of access to oncology drugs and biomarkers, and makes proposals to address these issues.

Study on compliance with breakthrough cancer pain guidelines by medical oncologists in Spain.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18260-e18260
Author(s):  
Rafael Lopez ◽  
Carlos Camps ◽  
Parham Khosravi-Shahi ◽  
Vicente Guillem ◽  
Alfredo Carrato ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cancer Pain ◽  
Time Pressure ◽  
Medical Oncology ◽  
Evaluation Process ◽  
Nationwide Survey ◽  
Poor Prognostic Factor ◽  
Spanish Society ◽  
Breakthrough Cancer Pain ◽  
Medical Oncologists

e18260 Background: Breakthrough cancer pain (BTcP) has been shown to be a prevalent and poor prognostic factor for cancer patients, which remains undertreated and underdiagnosed. The Spanish Society for Medical Oncology (SEOM) developed a clinical practice guideline (CPG) for the treatment of cancer pain which specifically addressed the management of BTcP. Methods: With the objective of evaluate compliance with SEOM’ guideline, Fundación ECO designed a survey to identify awareness, perceptions, implementation and gaps, among Spanish medical oncologists. Results: A total of 83 oncologists with a median experience of 13 years responded. Although 87% of oncologists considered their clinical practice complied with SEOM recommendations, there were discrepancies between what oncologists agreed to do versus how they do in clinical practice, as shown in the table. Main barriers identified in our study were time pressure together with vague statements in some recommendations, and the need to regularly update to reflect the most recent knowledge on therapeutic management. Conclusions: Nonetheless, this nationwide survey reflects that oncologist’s clinical practice is increasingly guided by GPC, and thus, the evaluation process is necessary, both to gauge the true application of the GPC by the professionals and to evaluate their impact on health care. [Table: see text]

Treatment of cancer pain: Spanish Society of Medical Oncology (SEOM) recommendations for clinical practice

2012 ◽  
Vol 14 (7) ◽  
pp. 499-504 ◽  
Author(s):  
Juan A. Virizuela ◽  
Yolanda Escobar ◽  
Javier Cassinello ◽  
Pablo Borrega
Keyword(s):  
Clinical Practice ◽  
Cancer Pain ◽  
Medical Oncology ◽  
Spanish Society

scholarly journals Cancer-Associated Thrombosis: Beyond Clinical Practice Guidelines—A Multidisciplinary (SEMI–SEOM–SETH) Expert Consensus

TH Open ◽  
2018 ◽  
Vol 02 (04) ◽  
pp. e373-e386 ◽  
Author(s):  
Vanessa Pachón ◽  
Javier Trujillo-Santos ◽  
Pere Domènech ◽  
Enrique Gallardo ◽  
Carmen Font ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Expert Panel ◽  
Medical Oncology ◽  
Scientific Evidence ◽  
Spanish Society ◽  
Specific Complex ◽  
Literature Evidence ◽  
Cancer Associated Thrombosis

AbstractDespite the growing interest and improved knowledge about venous thromboembolism in cancer patients in the last years, there are still many unsolved issues. Due to the limitations of the available literature, evidence-based clinical practice guidelines are not able to give solid recommendations for challenging scenarios often present in the setting of cancer-associated thrombosis (CAT). A multidisciplinary expert panel from three scientific societies—Spanish Society of Internal Medicine (SEMI), Spanish Society of Medical Oncology (SEOM), and Spanish Society Thrombosis and Haemostasis (SETH)—agreed on 12 controversial questions regarding prevention and management of CAT, which were thoroughly reviewed to provide further guidance. The suggestions presented herein may facilitate clinical decisions in specific complex circumstances, until these can be made leaning on reliable scientific evidence.

scholarly journals Identifying and preventing burnout in young oncologists, an overwhelming challenge in the COVID-19 era: a study of the Spanish Society of Medical Oncology (SEOM)

ESMO Open ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 100215
Author(s):  
P. Jiménez-Labaig ◽  
V. Pacheco-Barcia ◽  
A. Cebrià ◽  
F. Gálvez ◽  
B. Obispo ◽  
...  
Keyword(s):  
Medical Oncology ◽  
Spanish Society

Estatutos y competencias después de la STC 31/2010, de 28 de junio

2011 ◽  
pp. 139-165
Author(s):  
Hèctor LÓPEZ BOFILL
Keyword(s):  
The State ◽  
Formal Concept ◽  
Constitutional Court ◽  
Autonomous Community ◽  
Autonomous Communities ◽  
El Sistema ◽  
General Material ◽  
Definition Of

LABURPENA: Eskumenak banatzeko sistemari dagokionez, ekainaren 28ko 31/2010 Epaiak, Kataluniako Autonomia Estatutuari buruzkoak, estatutu-arauek Estatuaren eta autonomia erkidegoaren arteko eskumen-egitura modulatzeko aukera bertan behera uzten du, nahiz eta sistema konstituzionalak estatutuen xedapenei nolabaiteko protagonismo teorikoa ematen dien konstituzionaltasunaren blokea egituratzean eta eskumenak hartzean. Hala, 31/2010 Ebazpenak erakusten duenez, Auzitegi Konstituzionalak kategoria orokorren gaineko interpretazioaren monopolioa berresten du, eskumenen definizio funtzionala egiterakoan (egileak eskumen-egituraren «hiperkonstituzionalizazioa» deitzen dio fenomeno horri). Gainera, autonomia erkidegoei aitortutako eskumenen esklusibotasun-kontzeptua lausotzen du, Estatuaren oinarrizko legeriaren kontzeptu orokor material eta formalari uko egiten dio, eta autonomia-erakunde horien eskumen betearazleen irismena mugatzen du. RESUMEN: En lo referido al sistema de distribución de competencias, la Sentencia del Tribunal Constitucional 31/2010, de 28 de junio, sobre el Estatuto de Autonomía de Cataluña, cierra la posibilidad de que las normas estatutarias modulen la estructura competencial entre el Estado y la Comunidad Autónoma pese al teórico protagonismo que el sistema constitucional confiere a las disposiciones estatutarias en la articulación del bloque de la constitucionalidad y en la asunción de competencias. En la doctrina emanada de la resolución 31/2010, el Tribunal Constitucional refuerza su monopolio interpretativo sobre categorías generales en la definición funcional de competencias (la llamada por el autor «hiperconstitucionalización» de la estructura competencial) diluyendo el concepto de exclusividad aplicado a las competencias reconocidas a las Comunidades Autónomas, renunciando a un concepto general material-formal de legislación básica estatal y restringiendo el alcance de las competencias ejecutivas de los mismos entes autonómicos. ABSTRACT: As far as the allocation of powers is concerned, the 31/2010 ruling by the constitutional Court, from June 28th, about the Statute of Autonomy of Catalonia, opens the door to the possibility that the Statute norms modulate the competences framework between the State and the Autonomous Community despite the theoretical prominence awarded to the Statute provisions for the articulation of the block of constitutionality and the assumption of competences. As the doctrine from the 31/2010 ruling by the Constitutional Court states, the Constitutional Court enhances its interpretative monopoly on the general categories regarding the functional definition of competences (the so called by the author hiperconstitutionalization of the competences framework) wakening down the concept of exclusivity applied to the competences recognized to the Autonomous Communities, renouncing to a general material-formal concept for the State basic legislation and restricting the scope of the executive competences of the Autonomous entities.

scholarly journals P14.114 Tumor treating fields in glioblastoma clinical practice guidelines: a European and North American landscape analysis

2019 ◽  
Vol 21 (Supplement_3) ◽  
pp. iii95-iii95
Author(s):  
A Lawson McLean ◽  
R Kalff ◽  
J Walter
Keyword(s):  
Clinical Practice ◽  
Electric Fields ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Medical Oncology ◽  
German Society ◽  
Landscape Analysis ◽  
Science Literature ◽  
Tumor Treating Fields ◽  
Care Protocol

Abstract BACKGROUND Tumor treating fields (TTFields) are low-intensity alternating electric fields delivered at intermediate frequencies to disrupt cancer cell division and inhibit tumor growth, with significantly longer mean lifetime survival of 1.8 additional years in glioblastoma (GBM). International, national and local clinical practice guidelines have implications for clinical, personal and policy decision-making. Furthermore, they may impact on patients’ decisions to choose treatment at a given institution or even lead to commencement of legal proceedings for withholding therapies recommended by international guidelines. We performed an in-depth landscape analysis of clinical practice guidelines for GBM in Europe and North America to explore variation in treatment recommendations with a specific focus on TTFields. MATERIAL AND METHODS A systematic search was conducted of web sites of international guideline developers, relevant cancer agencies and the MEDLINE and Web of Science literature databases. The following information was extracted from each document meeting the inclusion criteria: whether TTFields is discussed and/or recommended in the guideline, the indications for and role of TTFields in the care protocol, the strength of the recommendation and any constraints placed on the situations where this therapy can or may be offered, including on cost grounds, where applicable. Dates of production and validity periods of the guidelines were also noted. In addition, standard operating procedures (SOPs) from several accredited comprehensive cancer centres in Germany, covering GBM care are compared, with a series of clinical vignettes presented. RESULTS The guidelines produced by the National Comprehensive Cancer Network (USA), National Institute for Health and Care Excellence (UK), German Society for Neurology, German Society for Haematology and Medical Oncology, European Association for Neuro-Oncology and European Society for Medical Oncology were critically compared. Wide variation in recommendations relating to the TTFields therapy was observed. Many guidelines had not been updated to reflect the results of the EF-14 study. CONCLUSION Discrepancy in the adoption of TTFields across clinical practice guidelines and SOPs has potential implications for care practices. This ultimately affects patient outcomes, safety and quality of care. Ideally, guidelines should be updated dynamically when new evidence indicates a need for a substantive change in the guideline based on a priori criteria. An ongoing revision process for guidelines, perhaps with shorter validity periods or a more flexible approach, may facilitate more expedient adoption of novel therapies in clinical practice guidelines and in practice. Meanwhile, therapies significantly improving OS and PFS should be recommended to patients and this should be documented.

scholarly journals Análisis del desarrollo curricular de la Educación Física en la Enseñanza Secundaria Obligatoria: Comparación de los currículos autonómicos (Analysis of curriculum development of Physical Education in Secondary Education: Comparison of regional curricula)

Retos ◽  
2016 ◽  
pp. 82-87
Author(s):  
David Méndez Alonso ◽  
Angel Pérez Pueyo ◽  
Antonio Méndez Giménez ◽  
Francisco Javier Fernandez Río ◽  
José Antonio Prieto Saborit
Keyword(s):  
Physical Activity ◽  
Secondary Education ◽  
Physical Education ◽  
School Context ◽  
Research Work ◽  
Activity Levels ◽  
Autonomous Community ◽  
Autonomous Communities ◽  
Credit Hours ◽  
Curricular Development

Tres fueron los objetivos de esta investigación: a) analizar el desarrollo curricular autonómico a partir del RD 1.105/2014 que establece el currículo básico de Educación Secundaria Obligatoria (ESO) en relación a la Educación Física (EF), b) comparar la carga horaria asignada a esta asignatura, y c) examinar las diferentes posibilidades que los currículos autonómicos han contemplado para incrementar la actividad física (AF) de los estudiantes en horario lectivo. Se realizó un análisis comparativo y cualitativo de las 15 normativas curriculares autonómicas disponibles. Los resultados muestran una elevada disparidad entre las autonomías en la manera de abordar los elementos curriculares. La catalogación de la EF como asignatura específica ha provocado serias divergencias, principalmente en los contenidos. Pese a las reiteradas reivindicaciones de los docentes y profesionales de la salud, la carga horaria se ha mantenido inmutable en relación a las leyes anteriores: dos horas semanales. Con todo, la consideración de propuestas en el marco de las asignaturas de libre configuración autonómica podría representar una vía eficaz para el incremento de la AF en los centros educativos.Abstract. The present research work has three main goals: a) to assess curricular development of RD 1105/2014, which establishes the basic curriculum in compulsory Secondary Education, in relation to Physical Education; b) to compare credit hours of this subject by Autonomous Community; and c) to examine the different curricular strategies that each Autonomous Community has taken into consideration to increase students’ physical activity levels within the school context. A comparative, qualitative analysis was carried out to assess 15 Spanish Autonomous Communities’ curricula. Results showed high disparities among Communities. The fact that Physical Education has been stated by law as a specific subject has led to sharp differences, mainly in terms of contents. Despite education and health professionals’ recurrent demands for change, physical education credit hours have remained unaltered: 2 hours per week. However, the consideration of different proposals within the new free-configuration autonomous subjects framework could represent an effective strategy to increase physical activity in educational contexts.

scholarly journals Experimental Substantiation of the Study of Fascial Grafts for the Extremity Reconstruction

2004 ◽  
Vol 11 (4) ◽  
pp. 85-88
Author(s):  
E Yu Fedotov ◽  
V G Golubev ◽  
Z G Natsvlishvili ◽  
G I Khokhrikov ◽  
E Yu Fedotov ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Blood Supply ◽  
Plastic Material ◽  
Angiographic Study ◽  
Extremity Reconstruction ◽  
First Time ◽  
Experimental Substantiation

The results of the anatomic and angiographic study of the radial and anterior serratus muscle fascial grafts on 30 cadavers are presented. Basing on the results of the work it is possible to conclude that potential introduction of this plastic material into clinical practice for the extremity reconstruction is desired, ft is the first time that the technique of the radial fascial graft harvesting is described in details. Angiographic results showed good blood supply of the isolated fascial grafts.

Sign in / Sign up

Export Citation Format

Share Document