scholarly journals Interventions to address sexual problems in people with cancer

2017 ◽  
Vol 24 (3) ◽  
pp. 192 ◽  
Author(s):  
L. Barbera ◽  
C. Zwaal ◽  
D. Elterman ◽  
K. McPherson ◽  
W. Wolfman ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Systematic Reviews ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Sexual Problems ◽  
Cancer Type ◽  
Internal Review ◽  
Primary Literature ◽  
Literature Evidence ◽  
Evidence Based Care

Background Sexual dysfunction in people with cancer is a significant problem. The present clinical practice guideline makes recommendations to improve sexual function in people with cancer.Methods This guideline was undertaken by the Interventions to Address Sexual Problems in People with Cancer Expert Panel, a group organized by the Program in Evidence-Based Care (pebc). Consistent with the pebc standardized approach, a systematic search was conducted for existing guidelines, and the literature in medline and embase for the years 2003–2015 was systematically searched for both systematic reviews and primary literature. Evidence found for men and for women was evaluated separately, and no restrictions were placed on cancer type or study design. Content and methodology experts performed an internal review of the resulting draft recommendations, which was followed by an external review by targeted experts and intended users.Results The search identified 4 existing guidelines, 13 systematic reviews, and 103 studies with relevance to the topic. The present guideline provides one overarching recommendation concerning the discussion of sexual health and dysfunction, which is aimed at all people with cancer. Eleven additional recommendations made separately for men and women deal with issues such as sexual response, body image, intimacy and relationships, overall sexual functioning and satisfaction, and vasomotor and genital symptoms.Conclusions To our knowledge this clinical practice guideline is the first to comprehensively evaluate interventions for the improvement of sexual problems in people with cancer. The guideline will be a valuable resource to support practitioners and clinics in addressing sexuality in cancer survivors.

Bone Health and Bone-targeted Therapies for Prostate Cancer: a Programme in Evidence-based Care — Cancer Care Ontario Clinical Practice Guideline

2017 ◽  
Vol 29 (6) ◽  
pp. 348-355 ◽  
Author(s):  
S.M.H. Alibhai ◽  
K. Zukotynski ◽  
C. Walker-Dilks ◽  
U. Emmenegger ◽  
A. Finelli ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Targeted Therapies ◽  
Practice Guideline ◽  
Bone Health ◽  
Cancer Care ◽  
Evidence Based ◽  
Evidence Based Care

scholarly journals Impact and use of reviews and ‘overviews of reviews’ to inform clinical practice guideline recommendations: protocol for a methods study

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e031442
Author(s):  
Carole Lunny ◽  
Cynthia Ramasubbu ◽  
Savannah Gerrish ◽  
Tracy Liu ◽  
Douglas M Salzwedel ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Systematic Reviews ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Data Extraction ◽  
Meta Analysis ◽  
Assessment Development ◽  
Evaluation Approach ◽  
Meta Analyses ◽  
The Impact

IntroductionGuidelines are systematically developed recommendations to assist practitioner and patient decisions about treatments for clinical conditions. High quality and comprehensive systematic reviews and ‘overviews of systematic reviews’ (overviews) represent the best available evidence. Many guideline developers, such as the WHO and the Australian National Health and Medical Research Council, recommend the use of these research syntheses to underpin guideline recommendations. We aim to evaluate the impact and use of systematic reviews with and without pairwise meta-analysis or network meta-analyses (NMAs) and overviews in clinical practice guideline (CPG) recommendations.Methods and analysisCPGs will be retrieved from Turning Research Into Practice and Epistemonikos (2017–2018). The retrieved citations will be sorted randomly and then screened sequentially by two independent reviewers until 50 CPGs have been identified. We will include CPGs that provide at least two explicit recommendations for the management of any clinical condition. We will assess whether reviews or overviews were cited in a recommendation as part of the development process for guidelines. Data extraction will be done independently by two authors and compared. We will assess the risk of bias by examining how each guideline developed clinical recommendations. We will calculate the number and frequency of citations of reviews with or without pairwise meta-analysis, reviews with NMAs and overviews, and whether they were systematically or non-systematically developed. Results will be described, tabulated and categorised based on review type (reviews or overviews). CPGs reporting the use of the Grading of Recommendations, Assessment, Development and Evaluation approach will be compared with those using a different system, and pharmacological versus non-pharmacological CPGs will be compared.Ethics and disseminationNo ethics approval is required. We will present at the Cochrane Colloquium and the Guidelines International Network conference.

scholarly journals An Altitude Adjustment: Implementing a Clinical Practice Guideline in the Newborn Nursery at Moderate Altitude

2020 ◽  
Author(s):  
◽  
Leeann Blaskowsky
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Supplemental Oxygen ◽  
Evidence Based ◽  
Moderate Altitude ◽  
Oxygen Administration ◽  
Shared Practice ◽  
Practice Problem ◽  
Evidence Based Care

Practice Problem: All infants undergo many changes at birth, but for some, the transition from intrauterine to extrauterine life presents more of a challenge, especially at altitude. Despite continuing research, neonatal prescribing guidelines for oxygen therapy remain ambiguous. PICOT: For term and late preterm infants requiring oxygen beyond transition, does a clinical practice guideline compared to practice without a guideline, provide consistent, evidence-based care, support the mother-infant dyad, and impact nursing perceptions over a six-week pilot period? Evidence: Birth at moderate altitude presents the newly born with less oxygen than those delivered at sea level. Several studies have assessed the differences and make recommendations for modifying acceptable saturations or compensating with a small amount of nasal cannula oxygen (the “altitude adjustment”), but recommend further study before broad application. Intervention: A consensus guideline for oxygen administration, weaning, and echocardiogram for indeterminate CCHD screens was created and implemented to facilitate care and practice consistency for patient safety and maintain the mother/infant dyad in a unique nursery setting. Outcome: After implementation, two infants demonstrated persistent pulmonary hypertension of the newborn, were treated with supplemental oxygen, and had normal ECHOs for age at discharge. These babies may have worsened without supportive treatment or required rehospitalization, demonstrating clinical significance for the pathway in the guideline. Conclusion: A shared-practice guideline for infants requiring supplemental oxygen following delivery was the focus of this EBP project. Evidence supports practice consistency by using guidelines and pathways across many disciplines, and engaging nurses in bringing evidence-based practice to the bedside improves patient outcomes.

scholarly journals Clinical practice guideline for renal rehabilitation: systematic reviews and recommendations of exercise therapies in patients with kidney diseases

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Kunihiro Yamagata ◽  
Junichi Hoshino ◽  
Hitoshi Sugiyama ◽  
Norio Hanafusa ◽  
Yugo Shibagaki ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Systematic Reviews ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Kidney Diseases
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