scholarly journals ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma

2020 ◽  
Vol 31 (1) ◽  
pp. 12-39
Author(s):  
Nicole Concin ◽  
Xavier Matias-Guiu ◽  
Ignace Vergote ◽  
David Cibula ◽  
Mansoor Raza Mirza ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Endometrial Carcinoma ◽  
European Society ◽  
Large Body ◽  
Consensus Conference ◽  
Evidence Based ◽  
Gynaecological Oncology ◽  
European Consensus ◽  
Evidence Based Guidelines

A European consensus conference on endometrial carcinoma was held in 2014 to produce multi-disciplinary evidence-based guidelines on selected questions. Given the large body of literature on the management of endometrial carcinoma published since 2014, the European Society of Gynaecological Oncology (ESGO), the European SocieTy for Radiotherapy and Oncology (ESTRO), and the European Society of Pathology (ESP) jointly decided to update these evidence-based guidelines and to cover new topics in order to improve the quality of care for women with endometrial carcinoma across Europe and worldwide.

scholarly journals ESMO–ESGO consensus conference recommendations on ovarian cancer: pathology and molecular biology, early and advanced stages, borderline tumours and recurrent disease

2019 ◽  
Vol 29 (4) ◽  
pp. 728-760 ◽  
Author(s):  
N Colombo ◽  
C Sessa ◽  
A du Bois ◽  
J Ledermann ◽  
WG McCluggage ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Quality Of Care ◽  
Molecular Biology ◽  
European Society ◽  
Recurrent Disease ◽  
Early Stage ◽  
Consensus Conference ◽  
Cancer Pathology ◽  
Stage Disease

The development of guidelines is one of the core activities of the European Society for Medical Oncology (ESMO) and European Society of Gynaecologial Oncology (ESGO), as part of the mission of both societies to improve the quality of care for patients with cancer across Europe. ESMO and ESGO jointly developed clinically relevant and evidence-based recommendations in several selected areas in order to improve the quality of care for women with ovarian cancer. The ESMO–ESGO consensus conference on ovarian cancer was held on April 12–14, 2018 in Milan, Italy, and comprised a multidisciplinary panel of 40 leading experts in the management of ovarian cancer. Before the conference, the expert panel worked on five clinically relevant questions regarding ovarian cancer relating to each of the following four areas: pathology and molecular biology, early-stage and borderline tumours, advanced stage disease and recurrent disease. Relevant scientific literature, as identified using a systematic search, was reviewed in advance. During the consensus conference, the panel developed recommendations for each specific question and a consensus was reached. The recommendations presented here are thus based on the best available evidence and expert agreement. This article presents the recommendations of this ESMO–ESGO consensus conference, together with a summary of evidence supporting each recommendation.

European Recommendations for good practice in addition to an evidence-based guidelines programme: rationale and method of development

2018 ◽  
Vol 24 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Nathalie Vermeulen ◽  
Nathalie Le Clef ◽  
Zdravka Veleva ◽  
Arianna D’Angelo ◽  
Kelly Tilleman
Keyword(s):  
European Society ◽  
Gold Standard ◽  
Methodological Quality ◽  
Good Practice ◽  
Human Reproduction ◽  
Evidence Based ◽  
Evidence Based Guideline ◽  
Evidence Based Guidelines ◽  
Technical Recommendations

The evidence-based approach is considered the gold standard of medical guidance. However, for some topics, it may be inappropriate to address them in an evidence-based guideline, as evidence for most of their aspects is absent or limited. Other topics may require only technical recommendations on how to perform a procedure, which are generally not covered in the published literature.In addition to an existing guideline programme, the European Society of Human Reproduction and Embryology has recently developed a manual for the development of (consensus-based) recommendations for good practice. The manual sets out a standardised methodology based on universal guideline principles with the aim of framing and improving the methodological quality of recommendations for good practice documents. The current paper outlines the relevance of recommendations for good practice, the methodology for developing these documents, and the differences and similarities with evidence-based guidelines.

scholarly journals Reducing Unwarranted Oncology Care Variation Across a Clinically Integrated Network: A Collaborative Physician Engagement Strategy

2019 ◽  
Vol 15 (12) ◽  
pp. e1076-e1084
Author(s):  
Jon M. Richards ◽  
Trever B. Burgon ◽  
Diana Tamondong-Lachica ◽  
Jacob D. Bitran ◽  
Wilfredo L. Liangco ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Cost Effective ◽  
Simulated Patients ◽  
Evidence Based ◽  
Patient Level Data ◽  
Patient Level ◽  
Level Data ◽  
Oncology Care ◽  
Evidence Based Guidelines

PURPOSE: Addressing unwarranted clinical variation in oncology is a high priority for health systems that aspire to ensure consistent levels of high-quality and cost-effective care. Efforts to improve clinical practice and standardize care have proven challenging. Advocate Physician Partners undertook a patient simulation-based practice measurement and feedback project that was focused on breast and lung cancer to engage oncologists in the care standardization process. METHODS: One hundred three medical oncologists cared for online simulated patients using the Clinical Performance and Value platform, receiving feedback on how their care decisions compared with evidence-based guidelines and their peers. We repeated this process every 4 months over six rounds, measuring changes in quality-of-care scores. We then compared simulated patient results with available patient-level claims data. RESULTS: Over the course of the project, overall quality-of-care scores improved 11.9% ( P < .001). Diagnostic accuracy increased 6.7% ( P < .001) and correlated with improved treatment scores, including a nearly 10-percentage point increase in evidence-based chemotherapy regimens ( P = .009) and a 56% increase in addressing palliative needs for patients with late-stage disease ( P < .001). Unnecessary test ordering declined 25% ( P < .001). We compared these results with available patient data and observed concordance with the metastatic imaging workup order rate for early-stage breast cancer. As unnecessary workups declined in the simulations and became more closely aligned with evidence-based guidelines, we saw similar rates of decline in the patient-level data. CONCLUSION: This study demonstrates that an oncology care standardization system that combines simulated patients with serial feedback increases evidence-based and cost-effective clinical decisions in patient simulations and patient-level data.

scholarly journals Improving quality of care for depression: the German Action Programme for the implementation of evidence-based guidelines

2005 ◽  
Vol 18 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Martin Härter ◽  
Isaac Bermejo ◽  
Günter Ollenschläger ◽  
Frank Schneider ◽  
Wolfgang Gaebel ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Evidence Based ◽  
Action Programme ◽  
Evidence Based Guidelines

scholarly journals Incentives and Support Programs to Improve Adherence to Tuberculosis Treatment

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Charlotte Wells ◽  
Melissa Severn
Keyword(s):  
High Risk ◽  
Methodological Quality ◽  
Clinical Effectiveness ◽  
Conclusive Evidence ◽  
Active Tuberculosis ◽  
Tuberculosis Treatment ◽  
Support Programs ◽  
Evidence Based ◽  
Evidence Based Guidelines

Three overviews of reviews and 11 systematic reviews were identified regarding the clinical effectiveness of adherence incentives in those who require assistance to complete their tuberculosis treatment. Four evidence-based guidelines were identified that provided recommendations regarding the use of adherence incentives in those who require assistance completing their tuberculosis treatment. The reported clinical effectiveness of adherence incentives for patients with tuberculosis was mixed. There were no detrimental effects of providing incentives, but there was also no conclusive evidence pointing to a clinical benefit. The overall quality of the included reviews was moderate to high. The included guidelines recommended that incentives and enablers be included as a part of a patient-centred strategy for treatment and for patients with active tuberculosis or patients at high risk; however, the evidence formulating these recommendations was of low certainty or quality. Two of the included guidelines were of high methodological quality, and 2 were of lower methodological quality.

scholarly journals PENERAPAN PRAKTIK KEPERAWATAN BERBASIS BUKTI PURSED LIP BREATHING PADA PASIEN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIK DI RUANG RSU PUSAT PERSAHABATAN JAKARTA

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Seven Sitorus
Keyword(s):  
Quality Of Care ◽  
Pulmonary Disease ◽  
Significant Influence ◽  
Exercise Tolerance ◽  
P Value ◽  
Evidence Based ◽  
Copd Exacerbation ◽  
Before And After ◽  
Evidence Based Nursing

Background: Chronic Obstruction Pulmonary Disease (COPD) is disease characterized by obstruction air flow in the breath not wholly reversible. One treatment can be done on improving exercise tolerance is exercise respiration as pursed lip breathing ( PLB ). Purse lip breathing is a techniques of breathing carried out to expelling air by creating power through  in move closer /pursed lips. Purpose: provide an illustration of the application of the practice of evidence based nursing of pursed lip breathing in patients COPD in RSUP Persahabatan Jakarta. Method:  the implementation of the practice of evidence based nursing pursed lip breathing is applied to 12 people sample ( 10 men and 2 women ) diagnosed with COPD exacerbation. Result: the majority of sex respondents is man as many as 10 ( 83,3 % ) persons and women as many as 2 ( 16,7 % ) a person .mean the age of respondents is 61,5 years ± 10.4 .mean the value of PEF ( Peak Expiratory Flow ), the value of the saturation oxygen , the value of respiratori rate before the intervention in a consecutive manner is 131.6 ±  44.6; 92.1 ± 2.44; 31.5 ±  2 . While value after the intervention is 175.0 ±  60.0; 97,1 ± 1.6; 22,6 ± 1.7 with P value = 0.001, α = 0.05. Conclusions: there are significant influence the application of pursed lip breathing between before and after the intervention in patients COPD. Advice: Intervention evidence based nursing can be applied to all patients COPD so reached the quality of care of nursing based on research

Med-on-@ix

2011 ◽  
pp. 974-994
Author(s):  
In-Sik Na ◽  
Max Skorning ◽  
Arnd T. May ◽  
Marie-Thérèse Schneiders ◽  
Michael Protogerakis ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Evidence Based Medicine ◽  
Vital Signs ◽  
Personal Data ◽  
Clinical Findings ◽  
Evidence Based ◽  
Physician Shortage ◽  
Virtual Presence ◽  
Based Medicine

The aim of the project Med-on-@ix is to increase the quality of care for emergency patients by the operationalisation of rescue processes. The currently available technologies will be integrated into a new emergency telemedical service system. The aim is to capture all the necessary information comprising electrocardiogram, vital signs, clinical findings, images and necessary personal data of a patient at the emergency scene and transmit this data in real time to a centre of competence. This would enable a “virtual presence” on site of an Emergency Medical Services physician (EMS-physician, the German Notarzt). Thus, we can raise the quality of EMS in total and counter the growing problem of EMS-physician shortage by exploiting the existing medical resources. In addition, this system offers EMS-physicians and paramedics consultation from a centre of competence. Thereby referring to evidence-based medicine and ensuring the earliest possible information of the hospital.

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