I-SWOT as instrument to individually optimize therapy of thoracoabdominal aortic aneurysms: Effective, norm-compliant and meeting the needs.
Gefasschirurgie
; 22(Suppl 1): 8-16, 2017.
Article
in En
| MEDLINE
| ID: mdl-28715514
ABSTRACT
BACKGROUND:
Guidelines summarize medical evidence, they identify the most efficient therapy under study conditions and recommend this therapy for use. The physician now has the challenge to translate a therapy that is efficient under laboratory conditions to a patient who is an individual person. To accomplish this task the physician has to make sure that (I) the ideal typical therapy is applicable and effective in this individual patient taking the special features into consideration, that (II) therapy is compliant with the norm including guidelines, laws and ethical requirements (conformity) and that (III) the therapy meets the patient's needs.OBJECTIVE:
How can physicians together with the patients translate the medical evidence into an individually optimized therapy? MATERIAL ANDMETHODS:
At the German Aortic Center in Hamburg we use ISWOT as an instrument to identify such individually optimized therapy. With ISWOT, we present an instrument with which we have developed an (I) efficient, (II) conform and (III) needs-oriented therapeutic strategy for individual patients.RESULTS:
I-SWOT cross-tabulates strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients. This ISWOT matrix identifies four fundamental types of strategy, which comprise "SO" maximizing strengths and opportunities, "WT" minimizing weaknesses and threats, "WO" minimizing weaknesses and maximizing opportunities and "ST" maximizing strengths and minimizing threats. We discuss the case of a patient with asymptomatic thoracoabdominal aneurysm to show how ISWOT is used to identify an individually optimized therapy strategy.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
Aspects:
Ethics
Language:
En
Journal:
Gefasschirurgie
Year:
2017
Document type:
Article
Affiliation country:
Alemania