Principles of Cancer Diagnosis

2019 ◽  
Author(s):  
Samantha J. Baker ◽  
J. Bart Rose
Keyword(s):  
Cancer Care ◽  
Quality Care ◽  
High Volume ◽  
Cancer Staging ◽  
Needle Aspiration ◽  
Patient Centered ◽  
Surgical Biopsy ◽  
Cancer Pathology ◽  
Centered Care ◽  
Knowledge Of Cancer

As knowledge of cancer pathology deepens, so does the complexity of cancer care. Recommendations from the National Cancer Policy Board Cancer Care System focus on using high-volume centers for patients undergoing high-mortality procedures and clinical trials to develop evidence-based guidelines for cancer prevention, diagnosis, treatment, palliative care, and quality care. Through the implementation of many of these principles, patient-centered care has become increasingly recognized as fundamental model for healthcare. This review contains 2 figures, 1 table, and 25 references. Key Words: Cancer, Cancer staging, Core needle biopsy, Fine needle aspiration, Liquid biopsy, Lymph nodes, Sentinel lymph node(s), Surgical biopsy

Principles of Cancer Diagnosis

2019 ◽  
Author(s):  
Samantha J. Baker ◽  
J. Bart Rose
Keyword(s):  
Cancer Care ◽  
Quality Care ◽  
High Volume ◽  
Cancer Staging ◽  
Needle Aspiration ◽  
Patient Centered ◽  
Surgical Biopsy ◽  
Cancer Pathology ◽  
Centered Care ◽  
Knowledge Of Cancer

As knowledge of cancer pathology deepens, so does the complexity of cancer care. Recommendations from the National Cancer Policy Board Cancer Care System focus on using high-volume centers for patients undergoing high-mortality procedures and clinical trials to develop evidence-based guidelines for cancer prevention, diagnosis, treatment, palliative care, and quality care. Through the implementation of many of these principles, patient-centered care has become increasingly recognized as fundamental model for healthcare. This review contains 2 figures, 1 table, and 25 references. Key Words: Cancer, Cancer staging, Core needle biopsy, Fine needle aspiration, Liquid biopsy, Lymph nodes, Sentinel lymph node(s), Surgical biopsy

Principles of Cancer Diagnosis

2019 ◽  
Author(s):  
Samantha J. Baker ◽  
J. Bart Rose
Keyword(s):  
Cancer Care ◽  
Quality Care ◽  
High Volume ◽  
Cancer Staging ◽  
Needle Aspiration ◽  
Patient Centered ◽  
Surgical Biopsy ◽  
Cancer Pathology ◽  
Centered Care ◽  
Knowledge Of Cancer

As knowledge of cancer pathology deepens, so does the complexity of cancer care. Recommendations from the National Cancer Policy Board Cancer Care System focus on using high-volume centers for patients undergoing high-mortality procedures and clinical trials to develop evidence-based guidelines for cancer prevention, diagnosis, treatment, palliative care, and quality care. Through the implementation of many of these principles, patient-centered care has become increasingly recognized as fundamental model for healthcare. This review contains 2 figures, 1 table, and 25 references. Key Words: Cancer, Cancer staging, Core needle biopsy, Fine needle aspiration, Liquid biopsy, Lymph nodes, Sentinel lymph node(s), Surgical biopsy

scholarly journals Design and feasibility of integrating personalized PRO dashboards into prostate cancer care

2015 ◽  
Vol 23 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Andrea L Hartzler ◽  
Jason P Izard ◽  
Bruce L Dalkin ◽  
Sean P Mikles ◽  
John L Gore
Keyword(s):  
Prostate Cancer ◽  
Focus Groups ◽  
Cancer Care ◽  
Line Graphs ◽  
Patient Centered ◽  
Human Centered Design ◽  
Patient Reported ◽  
Related Quality ◽  
Centered Care ◽  
Health Related

Abstract Objective Patient-reported outcomes (PROs) are a valued source of health information, but prior work focuses largely on data capture without guidance on visual displays that promote effective PRO use in patient-centered care. We engaged patients, providers, and design experts in human-centered design of “PRO dashboards” that illustrate trends in health-related quality of life (HRQOL) reported by patients following prostate cancer treatment. Materials and Methods We designed and assessed the feasibility of integrating dashboards into care in 3 steps: (1) capture PRO needs of patients and providers through focus groups and interviews; (2) iteratively build and refine a prototype dashboard; and (3) pilot test dashboards with patients and their provider during follow-up care. Results Focus groups ( n = 60 patients) prioritized needs for dashboards that compared longitudinal trends in patients’ HRQOL with “men like me.” Of the candidate dashboard designs, 50 patients and 50 providers rated pictographs less helpful than bar charts, line graphs, or tables ( P < .001) and preferred bar charts and line graphs most. Given these needs and the design recommendations from our Patient Advisory Board ( n = 7) and design experts ( n = 7), we built and refined a prototype that charts patients’ HRQOL compared with age- and treatment-matched patients in personalized dashboards. Pilot testing dashboard use ( n = 12 patients) improved compliance with quality indicators for prostate cancer care ( P < .01). Conclusion PRO dashboards are a promising approach for integrating patient-generated data into prostate cancer care. Informed by human-centered design principles, this work establishes guidance on dashboard content, tailoring, and clinical use that patients and providers find meaningful.

scholarly journals Opportunities and Challenges in Data-Driven Healthcare Research

2018 ◽  
Author(s):  
You Chen
Keyword(s):  
Good Practice ◽  
High Volume ◽  
Health Data ◽  
Healthcare Research ◽  
Care Quality ◽  
Data Driven ◽  
Unplanned Readmission ◽  
Patient Centered ◽  
Smart Healthcare ◽  
Centered Care

Health information technology has been widely used in healthcare, which has contributed a huge amount of data. Health data has four characteristics: high volume; high velocity; high variety and high value. Thus, they can be leveraged to i) discover associations between genes, diseases and drugs to implement precision medicine; ii) predict diseases and identify their corresponding causal factors to prevent or control the diseases at an earlier time; iii) learn risk factors related to clinical outcomes (e.g., patients’ unplanned readmission), to improve care quality and reduce healthcare expenditure; and iv) discover care coordination patterns representing good practice in the implementation of collaborative patient-centered care. At the same time, there are major challenges existing in data-driven healthcare research, which include: i) inefficient health data exchanges across different sources; ii) learned knowledge is biased to specific institution; iii) inefficient strategies to evaluate plausibility of the learned patterns and v) incorrect interpretation and translation of the learned patterns. In this paper, we review various types of health data, discuss opportunities and challenges existing in the data-driven healthcare research, provide solutions to solve the challenges, and state the important role of the data-driven healthcare research in the establishment of smart healthcare system.

scholarly journals Multimorbidity: An Issue of Growing Importance for Oncologists

2011 ◽  
Vol 7 (6) ◽  
pp. 371-374 ◽  
Author(s):  
Christine S. Ritchie ◽  
Elizabeth Kvale ◽  
Michael J. Fisch
Keyword(s):  
Cancer Care ◽  
Patient Centered Care ◽  
Care Plan ◽  
Patient Centered ◽  
Centered Care ◽  
The Impact

Recognition of the impact of multiple co-occurring conditions on a patient's cancer care plan and development of strategies to address the challenges associated with multimorbidity will enable oncologists to provide higher quality, patient-centered care.

scholarly journals Insight into Patients’ Experiences of Cancer Care in Taiwan: An Instrument Translation and Cross-Cultural Adaptation Study

2018 ◽  
Vol 15 (8) ◽  
pp. 1772 ◽  
Author(s):  
Tsung-Hsien Yu ◽  
Kuo-Piao Chung ◽  
Yu-Chi Tung ◽  
Hsin-Yun Tsai
Keyword(s):  
Cancer Patient ◽  
Patient Experience ◽  
Cultural Adaptation ◽  
Cancer Care ◽  
Expert Panel ◽  
Cross Cultural ◽  
Patient Centered ◽  
Cross Cultural Adaptation ◽  
Centered Care ◽  
Experience Survey

Background: Since Taiwan launched the Cancer Prevention Act in 2003, several prevention strategies and early detection programs have been implemented to reduce the incidence, morbidity and mortality rates of cancer. However, most of the programs have concentrated on healthcare providers. Evaluations from the patient’s perspective have been lacking. Thus, in this study a cancer patient experience questionnaire was developed in the Taiwanese context and a preliminary nationwide investigation was conducted on the status of cancer care from the patient’s perspective. Methods: An extensive literature review was first conducted to collect information on the existing instruments used to measure the cancer patient’s experience. Thereafter, a multidisciplinary expert panel was convened to select an optimal instrument based on the IOM’s six domains for evaluating patient-centered care. The European Organisation for Research and Treatment of Cancer (EORTC) translation procedure was applied to the questionnaire for cross-cultural adaptation. A nationwide field test was then implemented at certificated cancer care hospitals. Results: Fifteen questionnaires were collected for the literature review. The expert panel selected the National Cancer Patient Experience Survey based on the IOM’s recommendations. After cross-cultural translation of the questionnaire, a total of 4000 questionnaires were administered in 19 certificated cancer care hospitals and two major cancer patient associations, with 1010 being returned (25.25% response rate). Most of the respondents were middle-aged, and 70% were female. The respondents reported they had a good experience with cancer care, except for “Home care and support” and “Finding out what was wrong with you”. Stratified analysis was conducted, with the results showing that the cancer patients’ experiences varied depending on their sociodemographic and cancer-related characteristics. Conclusions: A Taiwanese version of the cancer patient experience survey questionnaire was developed. Its results showed that the cancer patient’s experiences varied, depending on the patient’s age, cancer type, and cancer history. This study can be used as a basis to establish a patient-centered care model for cancer care in Taiwan.

Undermining Patient Values: The ASCO Value in Cancer Care Task Force Framework

2015 ◽  
Vol 21 (4) ◽  
Author(s):  
Peter J. Pitts ◽  
Robert Goldberg
Keyword(s):  
Cancer Care ◽  
Recent Article ◽  
Medical Oncology ◽  
Task Force ◽  
Patient Centered ◽  
Cost Of Treatment ◽  
A Value ◽  
Centered Care ◽  
Patient Values ◽  
Basic Facts

As stated in a recent article in the Journal of Clinical Oncology, ASCO established a Value in Cancer Care Task Force, with the goal of “developing a framework for comparing the relative clinical benefit, toxicity, and cost of treatment in the medical oncology setting. “  In developing this framework or tool, the Task Force runs roughshod over basic facts to create a metric that – while established to promote patient centered care – strives mightily to achieve the exact opposite outcome.

Collaborating With Advanced Practice Providers: Impact and Opportunity

2017 ◽  
pp. e1-e7
Author(s):  
Heather M. Hylton ◽  
G. Lita Smith
Keyword(s):  
Nurse Practitioners ◽  
Cancer Care ◽  
Care Delivery ◽  
Quality Care ◽  
Cost Effective ◽  
Physician Assistants ◽  
Direct Patient Care ◽  
Advanced Practice ◽  
Care Access ◽  
Centered Care

Although significant progress has been made in cancer care, access to coordinated, high-quality care across the cancer care continuum remains a challenge for many patients. With significant workforce shortages in oncology anticipated, physician assistants (PAs) and nurse practitioners (NPs)—known collectively as advanced practice providers (APPs)—are considered to be a part of the solution to bridging the gap between the supply of and demand for oncology services. APPs are integral to the provision of team-based care in oncology, and optimizing the roles of all members of the patient’s care team is vital to ensuring the teams are cost-effective and that each team member is performing at the functional level intended. Studies have shown significant patient, physician, and APP satisfaction with collaborative care models, and APPs are well positioned to enhance value for patients in the oncology setting. Understanding the full scope of APP impact can be challenging as it extends well beyond direct patient care. As rapid progress in cancer care continues, innovative approaches to care delivery will be necessary to ensure patients’ access. Effective oncologist–APP partnerships will be key to providing optimal, value-centered care to patients.

scholarly journals Saberes e práticas do enfermeiro na unidade de terapia intensiva

2019 ◽  
Vol 13 (1) ◽  
pp. 70
Author(s):  
Maria do Carmo Campos Pereira ◽  
Susane de Fátima Ferreira Castro ◽  
Elyrose De Sousa Brito ◽  
Nirvânia Do Vale Carvalho ◽  
Danielle Vilela Lopes ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Quality Care ◽  
Structured Interview ◽  
Care Patient ◽  
Patient Centered ◽  
Centered Care ◽  
Terapia Intensiva

ABSTRACTObjective: to analyze nurses' knowledge and practice about "quality nursing care" in the Intensive Care Unit. Method: this is a qualitative, descriptive, observational study carried out with ten effective ICU nurses. A semi-structured interview script was applied, and the data analyzed through Content Analysis. Results: it is revealed that the majority is female, with a mean age of 44 years and a mean age of 16 years. Two categories were generated, one of which refers to the knowledge of nurses about the quality of nursing care and another about the practice of nurses. Conclusion: it was observed that nurses attributed the quality of care to patient-centered care in a humanized, holistic and safe way. In terms of applicability in practice, routine activities were considered as processes that guarantee quality care. It contributes, through the results, to planning and improvement of Nursing care. Descriptors: Quality of Health Care; Nursing; Nursing Care; Patient Safety; Intensive Care Unit; Health Care.RESUMOObjetivo: analisar o conhecimento e a prática do enfermeiro sobre a “assistência de Enfermagem de qualidade” na Unidade de Terapia Intensiva. Método: trata-se de estudo qualitativo, descritivo, observacional, realizado com dez enfermeiros efetivos da UTI. Aplicou-se um roteiro de entrevista semi-estruturado e analisaram-se os dados por meio de Análise de Conteúdo. Resultados: revela-se que a maioria é do sexo feminino, com idade média de 44 anos e média de formação de 16 anos. Geraram-se duas categorias, sendo que uma refere-se ao conhecimento do enfermeiro sobre a qualidade da assistência de Enfermagem e outra sobre a prática do enfermeiro. Conclusão: observou-se que os enfermeiros atribuíram a qualidade da assistência ao cuidado centrado no paciente de forma humanizada, holística e segura. Consideraram-se, quanto à aplicabilidade na prática, as atividades desenvolvidas na rotina como processos que garantem uma assistência de qualidade. Contribui-se, pelos resultados, para planejamentos e melhoria da assistência de Enfermagem. Descritores: Qualidade da Assistência à Saúde; Enfermagem; Cuidados de Enfermagem; Segurança do Paciente; Unidade de Terapia Intensiva; Assistência à saúde.RESUMENObjetivo: analizar el conocimiento y la práctica del enfermero sobre la "asistencia de Enfermería de calidad" en la Unidad de Terapia Intensiva. Método: se trata de un estudio cualitativo, descriptivo, observacional, realizado con diez enfermeros efectivos de la UTI. Se aplicó un guion de entrevista semiestructurado y se analizaron los datos por medio de Análisis de Contenido. Resultados: se revela que la mayoría es del sexo femenino, con edad media de 44 años y media de formación de 16 años. Se generaron dos categorías, siendo que una se refiere al conocimiento del enfermero sobre la calidad de la asistencia de Enfermería y otra sobre la práctica del enfermero. Conclusión: se observó que los enfermeros atribuyeron la calidad de la asistencia al cuidado centrado en el paciente de forma humanizada, holística y segura. Se consideraron, en cuanto a la aplicabilidad en la práctica, las actividades desarrolladas en la rutina como procesos que garantizan una asistencia de calidad. Se contribuye, por los resultados, para planificaciones y mejora de la asistencia de Enfermería. Descriptores: Calidad de la Atención de Salud; Enfermería; Atención de Enfermería; Seguridad del Paciente; Unidades de Cuidados Intensivos; Prestación de Atención de Salud.

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