Supportive care treatment guidelines: value, limitations, and opportunities.
Semin Oncol
; 38(3): 367-73, 2011 Jun.
Article
in En
| MEDLINE
| ID: mdl-21600365
ABSTRACT
Evidence-based guidelines in clinical oncology practice are now prominent, with emphasis on clinical, health outcome and economic perspectives. Given the complexity of cancer management, a multidisciplinary approach is essential. Evidence-based guidelines to address supportive cancer care have merged expert opinion, systematic evaluation of clinical and research data, and meta-analyses of clinical trials. Production of supportive care guidelines by the interdisciplinary team is dependent on sufficient high-quality research studies. Once published, it is essential they be customized at institutional and national levels. Implementation in clinical practice is perhaps the greatest challenge. Optimal management occurs through integration of country-specific issues, including care access, healthcare resources, information technology, and national coordination of healthcare practices. The purpose of this article is to (1) provide an overview of interdisciplinary cancer management using evidence-based guidelines; (2) delineate the theory and practice of guideline dissemination, utilization and outcome assessment; and (3) recommend future research strategies to maximize guidelines use in clinical practice.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
/
Practice Guidelines as Topic
/
Comprehensive Health Care
/
Information Dissemination
/
Health Plan Implementation
/
Neoplasms
Type of study:
Guideline
/
Sysrev_observational_studies
/
Systematic_reviews
Aspects:
Implementation_research
/
Patient_preference
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Semin Oncol
Year:
2011
Document type:
Article
Affiliation country:
United States