دورية أكاديمية
Management of Patients with Gastric or Gastroesophageal Junction Cancer: From Theory to Integrated Clinical Path- ways Implementation in the Real World.
| العنوان: | Management of Patients with Gastric or Gastroesophageal Junction Cancer: From Theory to Integrated Clinical Path- ways Implementation in the Real World. |
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| المؤلفون: | Guggino R; Service of Clinical Nutrition, ASP Palermo, Italy., Borsellino N; Medical Oncology Unit, Ospedale Buccheri La Ferla, Palermo, Italy.; GSTU Foundation for Cancer Research, Palermo, Italy., Spada M; Medical Oncology Unit, Fondazione Istituto Giglio, Cefalù, Palermo, Italy., Verderame F; Medical Oncology Unit, Ospedale Cervello Villa Sofia, Palermo, Italy., Mezzatesta P; Surgical Oncology Unit, La Maddalena Clinic for Cancer, Palermo., Marchesa P; Surgical Oncology Unit, ARNAS, Palermo, Italy., Firenze A; Risk Management Unit, Policlinico Paolo Giaccone, University of Palermo, Italy., Cartabellotta F; Chief Department of Internal Medicine, Ospedale Buccheri La Ferla, Palermo, Italy., Fazio I; Medical Oncology Unit, Ospedale Buccheri La Ferla, Palermo, Italy.; Radiotherapy Unit, Casa di Cura Macchiarella, Palermo, Italy., Pergolizzi S; Radiotherapy Unit, Policlinico Barresi, Messina, Italy., Callari C; Surgical Unit, Ospedale Buccheri La Ferla, Palermo, Italy., Gebbia V; GSTU Foundation for Cancer Research, Palermo, Italy.; Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties - Promise, University of Palermo, Italy.; Medical Oncology Unit, La Maddalena Clinic for Cancer, Palermo, Italy. |
| المصدر: | La Clinica terapeutica [Clin Ter] 2022 Jul-Aug; Vol. 173 (4), pp. 316-323. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Societa Editrice Universo Country of Publication: Italy NLM ID: 0372604 Publication Model: Print Cited Medium: Internet ISSN: 1972-6007 (Electronic) Linking ISSN: 00099074 NLM ISO Abbreviation: Clin Ter Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Roma : Societa Editrice Universo |
| مواضيع طبية MeSH: | Critical Pathways* , Stomach Neoplasms*/therapy, Esophagogastric Junction ; Humans ; Italy ; Prospective Studies |
| مستخلص: | Introduction: Best care of esophagogastric junction and gastric cancer (EGC) requires a complex, timely interaction between members of a multi-disciplinary team (MDT). An integrated clinical pathway (ICP) is necessary to achieve this goal as well as the implementation of its use in daily practice. The objective of this study was to elaborate on an integrated clinical pathway for the multi-disciplinary management of ECG. Authors also put in act an implementation program to improve adherence to guidelines thought an ICP. Method: This prospective work carried out by a multi-institutional MDT in Italy identified expert panel extracted relevant recommendations and/or statements from published papers and guidelines obtaining a set of crucial interventions employed the Estimate-Talk-Estimate method. A flow-chart diagram was elaborated to elicit the process at a glance. The primary outcome measure was the elaboration of an ICP with a high consensus rate also reported as a snapshot diagram and its implementation in daily clinical practice. An accredited certification body agency validated results, and an implementation process was started in several hospitals known to treat ECG. Results: A methodologist aggregated a multi-disciplinary panel of experts from different institutions. The panel elaborated a flow-chart diagram with crucial intervention highlight and connecting lines, as well as outcome measures. An accredited certification body agency validated the entire process, representing the basis for empowerment and implementation among patients and oncological professionals in various hospitals. Conclusion: The multi-disciplinary and multi-institutional expert panel successfully elaborated on a validated ICP for all stages ECG. An in-hospital implementation program has been programmed. |
| فهرسة مساهمة: | Keywords: clinical pathways; esophagogastric junction cancer; gastric cancer; multidisciplinary teams; flowchart |
| تواريخ الأحداث: | Date Created: 20220720 Date Completed: 20220722 Latest Revision: 20220722 |
| رمز التحديث: | 20221213 |
| DOI: | 10.7417/CT.2022.2440 |
| PMID: | 35857048 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1972-6007 |
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| DOI: | 10.7417/CT.2022.2440 |