Clinical practice guidelines
Clinical practice guidelines
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of
Staging classifications and clinical practice guidelines for gynaecological cancers
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The third edition of the Good Practice Guidelines on Gynaecologic Cancers was a collaborative effort between FIGO and the International Gynecologic Cancer Society. Both organisations put womens health and combat female cancers as their priority objectives
Advanced colorectal cancer: ESMO Clinical Practice Guidelines for treatment
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In 2006 there were 412 900 new cases of colorectal cancer (CRC) in Europe. This is 12.9% of all cancer cases. CRC was responsible for 217 400 deaths in Europe in 2006. This represents 12.2% of all cancer deaths. Approximately 25% present with metastases at initial
Clinical practice guidelines we can trust
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In the early 1990s, the Institute of Medicine (IOM) issued several reports on clinical practice guidelines (CPGs). In the ensuing years, CPGs and guideline development groups have proliferated enormously to the point that the Agency for Healthcare Research and Qualitys
Postmastectomy radiotherapy: clinical practice guidelines of the American Society of Clinical Oncology
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Objective: To determine indications for the use of postmastectomy radiotherapy (PMRT) for patients with invasive breast cancer with involved axillary lymph nodes or locally advanced disease who receive systemic therapy. These guidelines are intended for use in the care of
Endometrial cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Endometrial cancer is the sixth most common malignancy among females worldwide with an estimated incidence of about 288 000 new cases in the year 2008. In developed countries, endometrial cancer is the fourth most common cancer in women. Every year about 7400
Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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The risk increases with age. Median age at diagnosis is about 70 years or slightly older in most European countries. The literature on risk factors for colorectal cancer is extensive. Diet and dietary components are important, although the risk increases are not marked and not
Platelet transfusion for patients with cancer: clinical practice guidelines of the American Society of Clinical Oncology
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Objective: To determine the most effective, evidence-based approach to the use of platelet transfusions in patients with cancer. Outcomes: Outcomes of interest included prevention of morbidity and mortality from hemorrhage, effects on survival, quality of life, toxicity reduction
2000 update of recommendations for the use of tumor markers in breast and colorectal cancer: clinical practice guidelines of the American Society of Clinical
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Objective: To update the 1997 clinical practice guidelines for the use of tumor marker tests in the prevention, screening, treatment, and surveillance of breast and colorectal cancers. These guidelines are intended for use in the care of patients outside of clinical trialsWorldwide, some 240 million people have chronic hepatitis B virus (HBV), with the highest rates of infection in Africa and Asia. Our understanding of the natural history of HBV infection and the potential for therapy of the resultant disease is continuously improving. New data
Hematopoietic growth factors: ESMO Clinical Practice Guidelines for the applications
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These rates do not justify the systematic use of haematopoietic growth factors (hGFs) such as granulocyte colony-stimulating factor (G-CSF) or its pegylated form (pegfilgrastim) in prophylaxis of chemotherapy-induced neutropenia unless the risk of FN exceeds 20%, or
Cervical cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Cervical cancer is the third most common cancer in women, with an estimated 529828 new cases and 275128 deaths reported worldwide in 2008. More than 85% of the global burden occurs in developing countries, where it accounts for 13% of all female cancers . InPurpose To provide evidence-based guidelines for early enteral nutrition (EEN) during critical illness. Methods We aimed to compare EEN vs. early parenteral nutrition (PN) and vs. delayed EN. We defined early EN as EN started within 48 h independent of type or amount
Prevalence of depression PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions
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BACKGROUND Compared to those with depression alone, depressed patients with posttraumatic stress disorder (PTSD) experience more severe psychiatric symptomatology and factors that complicate treatment. OBJECTIVE To estimate PTSD prevalence among
EASL clinical practice guidelines : autoimmune hepatitis
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Page 1. Treatment of Autoimmune Hepatitis Ansgar W. Lohse Page 2. Ansgar W. Lohse, Olivier Chazouillères, George Dalekos, Joost Drenth, Michael Heneghan, Harald Hofer, Frank Lammert, Marco Lenzi EASL Clinical Practise Guideline Autoimmune Hepatitis Journal of Hepatology
Clinical practice guidelines on trial
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RSA Hayward Cmaj Can Med Assoc R sum LE MOMENT EST-IL VENU DE LAISSER TOMBER les guides de pratique clinique (GPC) Comme le signalent le Dr Graham Worrall et ses collègues (page 1705), les donn es probantes qui indiquent que les GPC ont eu une incidence favorable sur les
Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Lung cancer is the leading cause of cancer mortality worldwide with 1.8 million newly diagnosed cases, or 13% of all cancers diagnosed, in 2012 . The worldwide numbers are still rising despite an ongoing small decline in the Western world. Global statistics estimateBackground Epidermal growth factor receptor inhibitors (EGFRI) produce various dermatologic side effects in the majority of patients, and guidelines are crucial for the prevention and treatment of these untoward events. The purpose of this panel was to
Nasopharyngeal cancer: EHNS-ESMO-ESTRO clinical practice guidelines for diagnosis, treatment andfollow-up
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Cancer of the nasopharynx (NPC) is rare in Europe, with an annual crude incidence rate of 1.1 per 100 000. On the European scale, NPC accounts for 4760 new cases per year. Incidence is higher in men than women.[ 2]. In Europe, the relative survival for NPC was Abstract The Clinical Practice Guidelines for Hepatocellular Carcinoma (HCC), the first evidence-based guidelines for the treatment of HCC in Japan, were compiled by an expert panel supported by the Japanese Ministry of Health, Labour, and Welfare. The English
Cutaneous melanoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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The incidence of malignant melanoma varies from 3 5/100 000/year in Mediterranean countries to 12 20 in Nordic countries and is still rising . Increased ultraviolet (UV) light exposure of a genetically predisposed population seems to be at least in part responsible for
Testicular seminoma and non-seminoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Germ cell tumours (GCT) represent a rare malignancy affecting mostly Caucasian males aged between 15 and 40 years. Among these young men, testicular GCT (TGCT) is the most common cancer with noted geographic differences . Cure rates approximate 100% in
Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals
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In recent years, the term integrative medicinehas gained acceptance in medical academia. The Consortium of Academic Health Centers for Integrative Medicine defines this term as the practice of medicine that reaffirms the importance of the relationship between
Hodgkins lymphoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Additional positron emission tomography (PET) scan be considered according to the revised response criteria . Staging laparotomy is not recommended [II, A]. Full blood cell count, erythrocyte sedimentation rate (ESR) and blood chemistry including glucose, alkaline
Japanese clinical practice guidelines for pancreaticobiliary maljunction
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There have been no clinical guidelines for the management of pancreaticobiliary maljunction (PBM). The Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM) has proposed to establish clinical practice guidelines on how to deal with PBM, with the
Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Patients with RCC present with local or systemic symptoms, although most presentations are incidental owing to the widespread use of abdominal imaging. Prevalent use of ultrasonography and cross-sectional imaging is associated with incidental detection
International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and management
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Objectives Sarcopenia, defined as an age-associated loss of skeletal muscle function and muscle mass, occurs in approximately 6-22% of older adults. This paper presents evidence- based clinical practice guidelines for screening, diagnosis and management of sarcopenia
The evaluation of living renal transplant donors: clinical practice guidelines . Ad Hoc Clinical Practice Guidelines Subcommittee of the Patient Care and
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BL Kasiske, M Ravenscraft, EL Ramos Journal of the Am Soc Nephrol Care and Education Committee of the American Soci-ety of Transplant Physicians(ASTP). Work began in September 199 and was completed in December 1995. The areas covered were arbitrarily divided into sections. Each member of the ad hoc committee was assigned to
Outcomes of evidence-based clinical practice guidelines : a systematic review
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Objectives: This study aimed to investigate whether evidence-based clinical practice in health care improves outcomes for patients, personnel, and/or organizations. Methods: A systematic review of studies was conducted with various quantitative and qualitative General interest in functional gastrointestinal disorders is increasing among Japanese doctors as well as patients. This increase can be attributed to a number of factors, including recent increased interest in quality of life and advances in our understanding of the
Family physicians attitudes about and use of clinical practice guidelines
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PA James, TM Cowan, RP Graham J Fam mdedge-files-live.s3.us-east-2 BACKGROUND. The use of clinical guidelines is one strategy intended to improve health care quality, rein in costs, and standardize medical practice . Clinical guideline development has been prodigious, while less effort has been expended on the guidelines dissemination
Erythropoiesis-stimulating agents in the treatment of anaemia in cancer patients: ESMO Clinical Practice Guidelines for use
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Causes of anaemia in cancer patients might be patient-(eg haemoglobinopathies, thalassaemia, diminished nutritional status with deficiencies); disease-(bone marrow infiltration, bleeding, hypersplenism, haemolysis, anaemia of chronic disease) or treatment
Management of chemotherapy extravasation: ESMO EONS clinical practice guidelines
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Data on the incidence of either extravasation or infiltration are scant due to the absence of a centralized register of chemotherapy extravasation events. Incidence rates vary greatly. Estimates between 0.01% and 7% are noted in various publications [2 7]. Some data
Malignant pleural mesothelioma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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Malignant pleural mesothelioma (MPM) is a rare tumour. The incidence is 1.25/100 000 in Great Britain and 1.1/100 000 in Germany. Within the next 20 years the incidence is estimated to double in many countries. Exposure to asbestos is a well-establishedNonalcoholic fatty liver disease (NAFLD) is currently the most common cause of chronic liver disease in industrialized countries worldwide, and has become a serious public health issue not only in Western countries but also in many Asian countries including Japan. Within the
The evaluation of renal transplant candidates: clinical practice guidelines . Patient Care and Education Committee of the American Society of Transplant
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T hese guidelines are designed to help physicians and patients in the evaluation process that leads to renal transplantation. They cover issues pertinent to the assessment of potential adult or pediatric recipients of kidneys from either living or cadaveric donors. Although they
Clinical practice guidelines : quality of colonoscopy in colorectal cancer screening
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Preparations of sodium phosphate, low-volume hyperosmolar solutions, should not be used in patients with electrolyte disorders [16](rec A, LE 1a). The combination of magnesium citrate and sodium picosulfate shows a similar efficacy to traditional
Computer-interpretable clinical practice guidelines
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Objectives: To provide a comprehensive overview of computerinterpretable guideline (CIG) systems aimed at non-experts. The overview includes the history of efforts to develop CIGs, features of and relationships among current major CIG systems, current status of standards
Testicular seminoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
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The incidence of testicular cancer in Europe is rising, with doubling every 20 years. The current incidence is 6.3/100 000/year, with the highest rate in Northern European countries (6.8/100 000/year). The death rate is very low (0.38 cases/100 000/year). Of testicular
From clinical practice guidelines to computer-interpretable guidelines . A literature overview
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Background: Guidelines are among us for over 30 years. Initially they were used as algorithmic protocols by nurses and other ancillary personnel. Many physicians regarded the use of guidelines as cookbook medicine. However, quality and patient safety issues