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Helping the cardio-oncologist: from real life to guidelines.
Seminars in Oncology ( IF 3.0 ) Pub Date : 2019-11-20 , DOI: 10.1053/j.seminoncol.2019.01.005
Saro H Armenian 1 , Wojciech Jurczak 2 , Joseph R Carver 3 , Alessandra Gennari 4 , Giorgio Minotti 5 , Michael S Ewer 6
Affiliation  

Guidelines for the diagnosis, management, and surveillance of cancer patients have evolved with the single goal of improving patient care based on established data when available, or in the absence of firm data, on the standard practices of those with broad experience in actual hands-on patient care. Two initiatives intended to disseminate information to cardio-oncologists, were discussed in this session: the first, from the American Society of Clinical Oncology was focused on available data and the confidence level of that data; the second, from The European Society of Cardiology was a position paper. Interestingly, notwithstanding the somewhat different focus, there is considerable agreement between these two initiatives. Nevertheless, guidelines my not be applicable to all afflicted patients, and may raise questions as to when deviations from published standards should be considered. Such deviations may result in allegations of failure to meet standards of care or legal liability.

中文翻译:

帮助心脏病专家:从现实生活到指导原则。

癌症患者的诊断,管理和监视指南已经发展,其单一目标是根据现有数据(或在缺乏可靠数据的情况下)基于在实际操作中具有广泛经验的人员的标准做法,基于既有数据来改善患者护理。在病人护理上。在本次会议中,讨论了旨在向心脏病专家传播信息的两项举措:第一,来自美国临床肿瘤学会,重点关注可用数据和该数据的置信度;第二,来自欧洲心脏病学会的立场文件。有趣的是,尽管重点有所不同,但这两个倡议之间还是有相当大的共识。不过,指南可能并不适用于所有患病患者,并可能引起有关何时应考虑与已发布标准的偏差的问题。这种背离可能导致指控未能达到护理标准或法律责任。
更新日期:2019-11-20
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