scholarly journals Value in oncology from multi-criteria decision analysis: A systematic review

2021 ◽  
Vol 8 (10) ◽  
pp. 567-576
Author(s):  
César Augusto Guevara-Cuellar ◽  
Maria Paula Rengifo-Mosquera ◽  
Gina Isabel Sevilla Mejía ◽  
Natalia Pinzón Sánchez ◽  
Elizabeth Parody-Rúa

Objective: This study aims for three purposes: a) review the published MCDAs in oncology to identify the criteria considered valuable by the stakeholders, b) evaluate the adherence to best practice recommendations, and c) Propose a value tree, based on the findings of the systematic review, reflecting the most important criteria for the different stakeholders. Material and Methods: This systematic review consisted of the following phases: identification, screening, eligibility assessment, assessment of adherence to best practices, and extraction of the information. The identification was conducted in PUBMED, EMBASE, EBSCO, SCIENCE DIRECT, SCOPUS, LILACS, and Web of Science including records from January 1st, 1990, to February 28th, 2021. The adherence to best practices in MCDA were evaluated. A new value tree was made. Results: Thirteen articles were included. Colon, breast, and hematological cancer were the most frequently evaluated (n=10, 69,2%).  Physicians and patients were the most representative participants. The value measurement approach was the most used (n=11, 84,6%). The overall adherence rate to the recommendations was 77,3%. One hundred ninety-five criteria were identified. The relevant criteria for all stakeholders were “Improvement clinical efficacy" (24,5%), "Severity of disease" (13,5%), and "Improvement of safety & tolerability." (10,3%).  The physicians valued "Improvement clinical efficacy" (28,4%), "Severity of disease" (10,5%), and "Improvement of safety & tolerability." (8,4%) The most relevant criterion for the patients was "Severity of disease" (34,4%), "Improvement of clinical efficacy." (24,1%), and "Improvement of perceived health status" (13,8%). The significant criteria for administrative and academics were "Innovativeness of intervention" (37%) and "Improvement clinical efficacy" (14,8%). Conclusion: The number of MCDAs in oncology is scarce and with moderate adherence to best practice recommendations. A value tree based on relevant criteria was proposed.

2017 ◽  
Vol 45 (2) ◽  
pp. 231-237
Author(s):  
Christine M. Baugh ◽  
Emily Kroshus ◽  
Kaitlyn I. Perry ◽  
Alexandra P. Bourlas

This study examined the extent to which concussion management plans at National Collegiate Athletic Association (NCAA) member schools were in line with NCAA Concussion Policy and best practice recommendations in absence of any process to ensure compliance. Most schools' concussion management plans were in compliance with 3 (60%) or 4 (25.6%) of the NCAA's 4 required components. Annual athlete education and acknowledgement was the requirement least often included, representing an area for improvement. Further, schools tended to more often include best practices that were more medically-oriented (e.g., including baseline examination), compared to best practices that were less medical in nature (e.g., avoiding flagrant head hits).


2008 ◽  
pp. 318-344 ◽  
Author(s):  
Asif Akram ◽  
David Meredith

This chapter shows how the WSDL interface style (RPC / Document), strength of data typing and approach to data binding and validation have important implications on application security (and interoperability). This is because some (common) bad-practices and poor implementation choices can render a service vulnerable to the consequences of propagating loosely bound or poorly constrained data. The chosen Web service style and strength of data typing dictate how SOAP messages are constructed and serialized, and to what extent SOAP messages can be constrained and secured during validation. The chosen approach to binding and validation dictates how and where the SOAP-body and SOAP-header (which includes the security constructs) are handled in the application, and also determines the reliability of message parsing. The authors show how these Web service styles and implementation choices must be carefully considered and applied correctly by providing implementation examples and best practice recommendations.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
John Pallister ◽  
Paolo Papale ◽  
John Eichelberger ◽  
Chris Newhall ◽  
Charles Mandeville ◽  
...  

2019 ◽  
pp. 001857871988232
Author(s):  
Oscar Santalo

Hospital pharmacies may not have the necessary resources, tools, or policies in place to implement a valuable opioid stewardship program. Meanwhile, the number of opioid prescriptions and medication use has increased nationwide. The overuse of opioids is due to the challenging nature of pain management, drug diversion prevention, and opioid abuse, as well as difficulty in recognizing and implementing best practices regarding opioid stewardship. The purpose of this review is to describe the components and executional strategy of an effective opioid and pain stewardship program. Opioid and pain stewardship programs can help identify opportunities for better adherence to best practice recommendations such as standardization of opioid dosing strategies, prescription of multimodal and opioid-sparing regimens, identification of substance misuse, review of patient history information, recognition of pain as a disease state, and increased dispensing of opioid reversal medications.


2018 ◽  
Vol 53 (8) ◽  
pp. 756-767 ◽  
Author(s):  
William M. Adams ◽  
Samantha E. Scarneo ◽  
Douglas J. Casa

Context: Implementation of best-practice health and safety policies has been shown to be effective at reducing the risk of sudden death in sport; however, little is known about the extent to which these policies are required within secondary school athletics.Objective: To examine best-practice health and safety policies pertaining to the leading causes of sudden death and to concussion management in sport mandated at the state level for secondary school athletics.Design: Descriptive observational study.Setting: State high school athletic associations (SHSAAs), state departments of education, and enacted legislation.Patients or Other Participants: United States (including the District of Columbia) SHSAAs.Main Outcome Measure(s): A review of SHSAA health and safety policies for the 2016–2017 academic year, state department of education policies, and enacted legislation was undertaken to assess the polices related to the leading causes of sudden death and concussion management in sport. Current best-practice recommendations used to assess health and safety policies were specific to emergency action plans, automated external defibrillators, heat acclimatization, environmental monitoring and modification, and concussion management. The total number of best-practice recommendations required for each SHSAA's member schools for the aforementioned areas was quantified and presented as total number and percentage of recommendations required.Results: Four of 51 SHSAA member schools were required to follow best practices for emergency action plans, 7 of 51 for access to automated external defibrillators, 8 of 51 for heat acclimatization, and 3 of 51 for management of concussion.Conclusions: At the time of this study, SHSAA member schools were not required to follow all best-practice recommendations for preventing the leading causes of sudden death and for concussion management in sport. Continued advocacy for the development and implementation of best practices at the state level to be required of all secondary schools is needed to appropriately serve the health and well-being of our young student-athletes.


2014 ◽  
Vol 24 (2) ◽  
pp. 64-73 ◽  
Author(s):  
Sarah McKay

Substantial evidence exists to highlight the difficulties that children with UHL can experience. Unfortunately, the research regarding effective intervention for this population of children remains limited, particularly for young children. Professional perspectives vary widely regarding best choices and timing of interventions. As a result, clinicians are currently in a position of integrating the available scientific evidence with their clinical expertise to develop “best practice” recommendations for the management of their patients.


2019 ◽  
Vol 31 (7) ◽  
pp. 2776-2787 ◽  
Author(s):  
A. George Assaf ◽  
Mike G. Tsionas

Purpose This paper aims to serve as an important guide for more rigorous quantitative research in tourism and hospitality. Design/methodology/approach This paper relies on comments from several methodological experts in the field, as well as the authors’ main observation of the literature. Findings This paper identifies ten important areas of concern. In each of these areas, the authors provide recommendations for best practices. Research limitations/implications There are certainly other issues and concerns that are not covered in this paper. However, the issues addressed can be applied or generalized to most methodological contexts. Originality/value This paper does not present results from original research but provides interesting and comprehensive recommendations for more rigorous quantitative research.


2017 ◽  
Vol 46 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Brad Bolon

Regulatory guidances for nonclinical toxicity testing require brain evaluation but do not require a specific analytical strategy. The Society of Toxicologic Pathology (STP) has produced “best practice” recommendations for brain sampling and processing in general toxicity (GT) studies in adult rodents and nonrodents as well as developmental neurotoxicity (DNT) studies in rodents. This article explains acceptable brain trimming strategies as described in these 2 STP documents. Figures in the DNT and GT “best practices” illustrate coronal brain trimming at specific levels as defined by discrete external and internal anatomic landmarks. However, the text of both “best practice” papers states that institutions may choose different brain trimming levels or other planes (e.g., a longitudinal orientation) as long as key structures are sampled and trimming is consistent among individuals across the study. The STP-recommended number of brain levels to evaluate (7 or 8 coronal sections for GT and DNT studies, respectively) may need to be increased if neurotoxicity is considered possible or likely based on in-life clinical findings or other risk factors (chemical structure, known mode of action, etc.).


2013 ◽  
Vol 41 (S2) ◽  
pp. 8-18 ◽  
Author(s):  
Meredith A. Reynolds ◽  
Caree Jackson Cotwright ◽  
Barbara Polhamus ◽  
Allison Gertel-Rosenberg ◽  
Debbie Chang

The Early Care and Education (ECE) track presentations from CDC’s Weight of the Nation (WON) 2012 conference showcased innovative national, state, and community obesity prevention efforts. The track was organized around CDC’s “Spectrum of Opportunities” for obesity prevention in ECE (the Spectrum; Table 1), which outlines a common set of opportunities that can enhance the ECE environment with respect to nutrition, breastfeeding support, physical activity, and screen time — all important areas for obesity prevention targeting young children. Participants discussed the opportunities on the spectrum that had been pursued, the obesity prevention standards and best practices that had been the emphasis of their efforts, and common steps for developing, implementing, and evaluating initiatives. This paper provides background information on why ECE is an important component of any jurisdiction’s obesity prevention efforts, references for the primary national reports offering standards and best practice recommendations, an introduction to the Spectrum, and brief summaries of the WON ECE track presentations.


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