scholarly journals Supporting a person-centred approach in clinical guidelines. A position paper of the Allied Health Community - Guidelines International Network (G-I-N)

2013 ◽  
Vol 18 (5) ◽  
pp. 1543-1558 ◽  
Author(s):  
Simone A. van Dulmen ◽  
Sue Lukersmith ◽  
Josephine Muxlow ◽  
Elaine Santa Mina ◽  
Maria W.G. Nijhuis-van der Sanden ◽  
...  
Keyword(s):  
Clinical Guidelines ◽  
Allied Health ◽  
Position Paper ◽  
International Network ◽  
Health Community

scholarly journals DIAGNOSIS OF ENDOCRINE DISEASE: Thyroglobulin measurement using highly sensitive assays in patients with differentiated thyroid cancer: a clinical position paper

2014 ◽  
Vol 171 (2) ◽  
pp. R33-R46 ◽  
Author(s):  
Luca Giovanella ◽  
Penelope M Clark ◽  
Luca Chiovato ◽  
Leonidas Duntas ◽  
Rossella Elisei ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Clinical Guidelines ◽  
Differentiated Thyroid Cancer ◽  
Clinical Care ◽  
Thyroid Tissue ◽  
Position Paper ◽  
Analytical Sensitivity ◽  
Thyroid Cells ◽  
Highly Sensitive

Differentiated thyroid cancer (DTC) is the most common endocrine cancer and its incidence has increased in recent decades. Initial treatment usually consists of total thyroidectomy followed by ablation of thyroid remnants by iodine-131. As thyroid cells are assumed to be the only source of thyroglobulin (Tg) in the human body, circulating Tg serves as a biochemical marker of persistent or recurrent disease in DTC follow-up. Currently, standard follow-up for DTC comprises Tg measurement and neck ultrasound combined, when indicated, with an additional radioiodine scan. Measurement of Tg after stimulation by endogenous or exogenous TSH is recommended by current clinical guidelines to detect occult disease with a maximum sensitivity due to the suboptimal sensitivity of older Tg assays. However, the development of new highly sensitive Tg assays with improved analytical sensitivity and precision at low concentrations now allows detection of very low Tg concentrations reflecting minimal amounts of thyroid tissue without the need for TSH stimulation. Use of these highly sensitive Tg assays has not yet been incorporated into clinical guidelines but they will, we believe, be used by physicians caring for patients with DTC. The aim of this clinical position paper is, therefore, to offer advice on the various aspects and implications of using these highly sensitive Tg assays in the clinical care of patients with DTC.

Thrombosis and kidney disease in cancer: comorbidities defining a very high risk patient: A position paper from the Cancer & the Kidney International Network

2018 ◽  
Vol 2 (2-3) ◽  
pp. 37-49 ◽  
Author(s):  
Vincent Launay-Vacher ◽  
Florian Scotté ◽  
Hanno Riess ◽  
Neil Ashman ◽  
Philip McFarlane ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Cancer Patients ◽  
Working Group ◽  
High Risk Patient ◽  
Position Paper ◽  
International Network ◽  
Direct Anticoagulants ◽  
Special Working ◽  
Special Working Group

Cancer & the Kidney International Network was created in 2014. The aim was to improve the management of cancer patients by developing clinical and scientific knowledge on the main topic of cancer and the kidney. Therefore, the Cancer & the Kidney International Network created a special working group: the Thrombosis, Kidney Disease, and Cancer working Group. The first step of this force was to produce a position paper on this topic by investigating the association of chronic kidney disease and venous thromboembolism in cancer patients, focusing particularly on the anticoagulant management of patients presenting these three comorbidities. The use of low-molecular-weight heparins, vitamin K agonists and oral direct anticoagulants in cancer patients with chronic kidney disease was reviewed.

scholarly journals What Role Can Process Mining Play in Recurrent Clinical Guidelines Issues? A Position Paper

2020 ◽  
Vol 17 (18) ◽  
pp. 6616
Author(s):  
Roberto Gatta ◽  
Mauro Vallati ◽  
Carlos Fernandez-Llatas ◽  
Antonio Martinez-Millana ◽  
Stefania Orini ◽  
...  
Keyword(s):  
Medical Informatics ◽  
Clinical Guidelines ◽  
Process Mining ◽  
State Of The Art ◽  
Position Paper ◽  
Evidence Based ◽  
The Past ◽  
Relevant Role ◽  
Indispensable Tool ◽  
Based Medicine

In the age of Evidence-Based Medicine, Clinical Guidelines (CGs) are recognized to be an indispensable tool to support physicians in their daily clinical practice. Medical Informatics is expected to play a relevant role in facilitating diffusion and adoption of CGs. However, the past pioneering approaches, often fragmented in many disciplines, did not lead to solutions that are actually exploited in hospitals. Process Mining for Healthcare (PM4HC) is an emerging discipline gaining the interest of healthcare experts, and seems able to deal with many important issues in representing CGs. In this position paper, we briefly describe the story and the state-of-the-art of CGs, and the efforts and results of the past approaches of medical informatics. Then, we describe PM4HC, and we answer questions like how can PM4HC cope with this challenge? Which role does PM4HC play and which rules should be employed for the PM4HC scientific community?

Why allied health professionals use evidence-based clinical guidelines in stroke rehabilitation: A systematic review and meta-synthesis of qualitative studies

2021 ◽  
pp. 026921552110123
Author(s):  
Dayna Halls ◽  
Carolyn Murray ◽  
Ben Sellar
Keyword(s):  
Qualitative Research ◽  
Health Systems ◽  
Health Professionals ◽  
Clinical Guidelines ◽  
Stroke Rehabilitation ◽  
Allied Health ◽  
Clinical Guideline ◽  
Good Reason ◽  
Evidence Based ◽  
Allied Health Professionals

Objective: To capture qualitative research about the perspectives and reasoning of allied health professionals about variability in the use of clinical guidelines in stroke rehabilitation. Data sources: Ovid Medline, Psychinfo, Cochrane, Ovid Emcare, Scopus and Web of Science. Method: The review protocol followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. Qualitative or mixed methods research that provided qualitative data about use of clinical guidelines delivered by allied health professionals in stroke rehabilitation was included. Clinical guidelines included any evidence-based documents that guided allied health stroke rehabilitation practice. All studies were screened in duplicate at title and abstract and then at full text. Included studies were appraised using the McMaster Critical Appraisal Tool. Results: Data from 850 allied health professionals in 22 qualitative research studies from seven different countries were analysed and synthesised. Four themes were developed including: context necessitates strategy, all clients are different, systemic changes are needed and need a good reason to change something. The findings aligned with the four arms of evidence-base practice. Allied health professionals use clinical guidelines when they align with their reasoning and match the ‘sweet spot’ for client goals and circumstance. Clinical guideline use is attributed to sufficient resourcing, time and motivation and a strong research culture within health systems. Conclusions: Variabilities in clinical guideline use by allied health professionals are due to their clinical reasoning, contextual factors, client characteristics and enabling health systems.

Sign in / Sign up

Export Citation Format

Share Document