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Pesquisa : H02.403.429.515.750 [Categoria DeCS]
Referências encontradas : 96 [refinar]
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  1 / 96 MEDLINE  
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PMID:28745714
Autor:Mosin SV; Kurashinova LT; Makarova OK; Sazhin AV
Endereço:Department of Faculty Surgery # 1, Medical Faculty of Pirogov Russian National Medical Research University, Moscow, Russia; Moscow Clinical Research Center, Moscow, Russia.
Título:[Telemedicine consultations in surgery. Analysis of the results and future prospects].
Título:Telemeditsinskie konsul'tatsii v khirurgii. Analiz rezul'tatov i perspektivy razvitiia..
Fonte:Khirurgiia (Mosk); (7):74-82, 2017.
ISSN:0023-1207
País de publicação:Russia (Federation)
Idioma:rus
Tipo de publicação: JOURNAL ARTICLE


  2 / 96 MEDLINE  
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PMID:28958315
Autor:D'Agostino TA; Bialer PA; Walters CB; Killen AR; Sigurdsson HO; Parker PA
Título:A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology.
Fonte:AORN J; 106(4):295-305, 2017 Oct.
ISSN:1878-0369
País de publicação:United States
Idioma:eng
Resumo:Patient safety in the OR depends on effective communication. We developed and tested a communication training program for surgical oncology staff members to increase communication about patient safety concerns. In phase one, 34 staff members participated in focus groups to identify and rank factors that affect speaking-up behavior. We compiled ranked items into thematic categories that included role relations and hierarchy, staff rapport, perceived competence, perceived efficacy of speaking up, staff personality, fear of retaliation, institutional regulations, and time pressure. We then developed a communication training program that 42 participants completed during phase two. Participants offered favorable ratings of the usefulness and perceived effect of the training. Participants reported significant improvement in communicating patient safety concerns (t = -2.76, P = .009, d = 0.48). Findings offer insight into communication challenges experienced by surgical oncology staff members and suggest that our training demonstrates the potential to improve team communication.
Tipo de publicação: JOURNAL ARTICLE


  3 / 96 MEDLINE  
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PMID:28920650
Autor:Uy GL; Katz MHG; Boughey JC
Título:Junior investigators: Get engaged in the Alliance for Clinical Trials in Oncology.
Fonte:Bull Am Coll Surg; 102(4):62-3, 2017 04.
ISSN:0002-8045
País de publicação:United States
Idioma:eng
Resumo:The success of the Alliance and the cooperative groups in the National Cancer Institute's National Clinical Trials Network is dependent on the cooperative group's ability to help recruit and train the next generation of clinical researchers.
Tipo de publicação: JOURNAL ARTICLE


  4 / 96 MEDLINE  
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PMID:28885811
Autor:Bura C; Francescatti A
Título:New resources available for your personal and professional development.
Fonte:Bull Am Coll Surg; 102(6):51-3, 2017 06.
ISSN:0002-8045
País de publicação:United States
Idioma:eng
Tipo de publicação: NEWS


  5 / 96 MEDLINE  
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PMID:28885810
Autor:Dickson-Witmer D; Blair S; Boughey JC
Título:ACS CRP Dissemination and Implementation Committee issues call for participants in pilot project.
Fonte:Bull Am Coll Surg; 102(6):48-50, 2017 06.
ISSN:0002-8045
País de publicação:United States
Idioma:eng
Resumo:According to HHS, dissemination and implementation research is designed "to bridge the gap between public health, clinical research, and everyday practice by building a knowledge base about how health information, interventions, and new clinical practices and policies are transmitted and translated for public health and health care service use in specific settings".
Tipo de publicação: JOURNAL ARTICLE


  6 / 96 MEDLINE  
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PMID:28884996
Autor:Fox M
Título:CoC Chair Dr. Shulman works to improve quality of cancer care.
Fonte:Bull Am Coll Surg; 102(7):19-22, 2017 07.
ISSN:0002-8045
País de publicação:United States
Idioma:eng
Tipo de publicação: JOURNAL ARTICLE


  7 / 96 MEDLINE  
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PMID:28856514
Autor:Schneider PJ; Evaniew N; McKay P; Ghert M
Endereço:Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Título:Moving Forward Through Consensus: A Modified Delphi Approach to Determine the Top Research Priorities in Orthopaedic Oncology.
Fonte:Clin Orthop Relat Res; 475(12):3044-3055, 2017 Dec.
ISSN:1528-1132
País de publicação:United States
Idioma:eng
Resumo:BACKGROUND: Several challenges presently impede the conduct of prospective clinical studies in orthopaedic oncology, including limited financial resources to support their associated costs and inadequate patient volume at most single institutions. This study was conducted to prioritize research questions within the field so that the Musculoskeletal Tumor Society (MSTS), and other relevant professional societies, can direct the limited human and fiscal resources available to address the priorities that the stakeholders involved believe will have the most meaningful impact on orthopaedic oncology patient care. QUESTIONS/PURPOSES: The purpose of this study was to use a formal consensus-based approach involving clinician-scientists and other stakeholders to identify the top priority research questions for future international prospective clinical studies in orthopaedic oncology. METHODS: A three-step modified Delphi process involving multiple stakeholder groups (including orthopaedic oncologists, research personnel, funding agency representation, and patient representation) was conducted. First, we sent an electronic questionnaire to all participants to solicit clinically relevant research questions (61 participants; 54% of the original 114 individuals invited to participate returned the questionnaires). Then, participants rated the candidate research questions using a 5-point Likert scale for five criteria (60 participants; 53% of the original group participated in this portion of the process). Research questions that met a priori consensus thresholds progressed for consideration to an in-person consensus meeting, which was attended by 44 participants (39% of the original group; 12 countries were represented at this meeting). After the consensus panel's discussion, members individually assigned scores to each question using a 9-point Likert scale. Research questions that met preset criteria advanced to final ranking, and panel members individually ranked their top three priority research questions, resulting in a final overall ranking of research priorities. RESULTS: A total of 73 candidate research questions advanced to the consensus meeting. In the end, the consensus panel identified four research priorities: (1) Does less intensive surveillance of patients with sarcoma affect survival? (2) What are the survival outcomes over time for orthopaedic oncology implants? (3) Does resection versus stabilization improve oncologic and functional outcomes in oligometastatic bone disease? (4) What is the natural history of untreated fibromatosis? CONCLUSIONS: The results of this study will assist in developing a long-term research strategy for the MSTS and, possibly, the orthopaedic oncology field as a whole. Furthermore, the results of this study can assist researchers in guiding their research efforts and in providing a justified rationale to funding agencies when requesting the resources necessary to support future collaborative research studies that address the identified orthopaedic oncology priorities.
Tipo de publicação: CONSENSUS DEVELOPMENT CONFERENCE; JOURNAL ARTICLE


  8 / 96 MEDLINE  
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PMID:28854347
Autor:Wang HL; Kim CJ; Koo J; Zhou W; Choi EK; Arcega R; Chen ZE; Wang H; Zhang L; Lin F
Título:Practical Immunohistochemistry in Neoplastic Pathology of the Gastrointestinal Tract, Liver, Biliary Tract, and Pancreas.
Fonte:Arch Pathol Lab Med; 141(9):1155-1180, 2017 Sep.
ISSN:1543-2165
País de publicação:United States
Idioma:eng
Resumo:CONTEXT: - Immunomarkers with diagnostic, therapeutic, or prognostic values have been increasingly used to maximize the benefits of clinical management of patients with neoplastic diseases of the gastrointestinal tract, liver, biliary tract, and pancreas. OBJECTIVES: - To review the characteristics of immunomarkers that are commonly used in surgical pathology practice for neoplasms of the gastrointestinal tract, liver, biliary tract, and pancreas, and to summarize the clinical usefulness of immunomarkers that have been discovered in recent years in these fields. DATA SOURCES: - Data sources include literature review, authors' research data, and personal practice experience. CONCLUSIONS: - Immunohistochemistry is an indispensable tool for the accurate diagnosis of neoplastic diseases of the gastrointestinal tract, liver, biliary tract, and pancreas. Useful immunomarkers are available to help distinguish malignant neoplasms from benign conditions, determine organ origins, and subclassify neoplasms that are morphologically and biologically heterogeneous. Specific immunomarkers are also available to help guide patient treatment and assess disease aggressiveness, which are keys to the success of personalized medicine. Pathologists will continue to play a critical role in the discovery, validation, and application of new biomarkers, which will ultimately improve patient care.
Tipo de publicação: JOURNAL ARTICLE; REVIEW
Nome de substância:0 (Biomarkers, Tumor)


  9 / 96 MEDLINE  
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PMID:28801975
Autor:Tan HJ; Litwin MS; Chamie K; Saliba D; Hu JC
Endereço:Department of Urology, University of North Carolina, Chapel Hill, North Carolina.
Título:Trends in Aging-Related Services During Nephrectomy: Implications for Surgery in an Aging Population.
Fonte:J Am Geriatr Soc; 65(10):2290-2296, 2017 Oct.
ISSN:1532-5415
País de publicação:United States
Idioma:eng
Resumo:OBJECTIVES: To characterize the extent to which geriatric and related healthcare services are provided to older adults undergoing surgery for kidney cancer, a potential growth area in geriatrics and oncology. DESIGN: Population-based observational study. SETTING: Surveillance, Epidemiology, and End Results cancer data linked with Medicare claims. PARTICIPANTS: Adults aged 65 and older with kidney cancer treated surgically from 2000 to 2009 (N = 19,129). MEASUREMENTS: Receipt of geriatric consultation, medical comanagement during the surgical hospitalization, inpatient physical or occupational therapy (PT/OT), and postacute PT/OT during the surgical care episode. Multivariable, mixed-effects models were used to identify associated participant and hospital characteristics, examine trends over time, and characterize hospital-level variation. RESULTS: Geriatric consultation occurred rarely in the perioperative period (2.6%). Medical comanagement (15.8%), inpatient PT/OT (34.2%), and postacute PT/OT (15.6%) occurred more frequently. In our mixed-effects models, participant age and comorbidity burden appeared to be consistent determinants of use of services, although hospital-level variation was also noted (P < .001). Use of geriatric consultation increased modestly in the latter years of the study period (P < .05). In contrast, medical comanagement (183%), inpatient PT/OT (73%), and postacute PT/OT (71%) increased substantially over the study period (P < .001). CONCLUSION: Although geriatric consultation remained sparse, use of medical comanagement and rehabilitation services has grown considerably for older adults undergoing surgery for kidney cancer. Efforts to reorganize cancer and surgery care should explore reasons for variation and the potential for these service elements to meet the health needs of an aging population.
Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY


  10 / 96 MEDLINE  
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PMID:28682689
Autor:Bendzsak AM; Baxter NN; Darling GE; Austin PC; Urbach DR
Endereço:Anna M. Bendzsak, Peter C. Austin, and David R. Urbach, University of Toronto; Nancy N. Baxter, St Michael's Hospital; Gail E. Darling, University Health Network, Toronto, Ontario, Canada.
Título:Regionalization and Outcomes of Lung Cancer Surgery in Ontario, Canada.
Fonte:J Clin Oncol; 35(24):2772-2780, 2017 Aug 20.
ISSN:1527-7755
País de publicação:United States
Idioma:eng
Resumo:Purpose Regionalization of complex surgery to high-volume hospitals has been advocated based on cross-sectional volume-outcome studies. In April 2007, the agency overseeing cancer care in Ontario, Canada, implemented a policy to regionalize lung cancer surgery at 14 designated hospitals, enforced by economic incentives and penalties. We studied the effects of implementation of this policy. Methods Using administrative health data, we used interrupted time series models to analyze the immediate and delayed effects of implementation of the policy on the distribution of lung cancer surgery among hospitals, surgical outcomes, and health services use. Results From 2004 to 2012, 16,641 patients underwent surgery for lung cancer. The proportion of operations performed in designated hospitals increased from 71% to 89% after the policy was implemented. Although operative mortality decreased from 4.1% to 2.9% (adjusted odds ratio, 0.68; 95% CI, 0.58 to 0.81; P < .001), the reduction was due to a preexisting declining trend in mortality. In contrast, in the years after implementation of the policy, length of hospital stay decreased more than expected from the baseline trend by 7% per year (95% CI, 5% to 9%; P < .001), and the distance traveled by all patients to the hospital for surgery increased by 4% per year (95% CI, 0% to 8%; P = .03), neither of which were explained by preexisting trends. Analyses limited to patients ≥ 70 years of age demonstrated a reduction in operative mortality (odds ratio, 0.80 per year after regionalization; 95% CI, 0.67 to 0.95; P = .01). Conclusion A policy to regionalize lung cancer surgery in Ontario led to increased centralization of surgery services but was not independently associated with improvements in operative mortality. Improvements in length of stay and in operative mortality among elderly patients suggest areas where regionalization may be beneficial.
Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY



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