Cancer guideline development in Europe: A survey among ECCO members

Schrijvers, Dirk; Turco, Marco Rosselli Del; Maddock, Carol A.; Marotti, Lorenza; Hemelryck, Françoise Van

doi:10.1016/j.ejca.2012.01.014

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…17 A solution has been proposed by the European Cancer Organization, by which high-quality guidelines are endorsed provided they fulfill minimal quality criteria, including multidisciplinarity, validated methodology, transparent conflict-of-interest policy, and involvement of patient organizations. 18 Another option will be in the future the development of metaguidelines. The term has been recently used to describe the undertaking of collecting recommendations from various sources, then updating and reconciling the differences, in the context of the management of patients with schizophrenia, 19 but can easily be transposed in the field of oncology.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Guidelines in Gynecologic Cancer Surgery

Ferron¹,

Martinez²,

Gladieff³

et al. 2014

International Journal of Gynecological Cancer

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The purpose of this study is to review the available evidence documenting the prognostic role of adherence to guidelines in gynecologic cancers. A systematic review of the PubMed database using "guideline," "adherence," and "cancer" was carried out on February 25, 2014. Two thousand one hundred twenty-three publications were identified. Only publications addressing the question of adherence to recommendations regarding surgical care and multidisciplinary management of gynecologic cancers were selected. Six studies were identified in endometrial cancer, 4 in ovarian cancer, and none in cervical cancer. Adoption of guidelines is an effective tool for disease control and must consequently be considered as a process measure of quality cancer care. It is urgent to develop reliable and reproducible tools to assess adherence to guidelines based on level 1 evidence in gynecologic cancer then to carry out investigations to document the prognostic impact of compliance with guidelines. The time has come to include adherence to guidelines in quality assurance programs.

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Section: Discussionmentioning

confidence: 99%

Adherence to Guidelines in Gynecologic Cancer Surgery

Ferron¹,

Martinez²,

Gladieff³

et al. 2014

International Journal of Gynecological Cancer

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“…Clinical practice guidelines are designed to assist health care professionals (HPs) to provide the most appropriate care for their patients [ 1 ]. Using best available evidence, guideline development is slow and expensive [ 2 ]. Yet, many guidelines are not implemented [ 3 ], with potential benefits for patients lost.…”

Section: Introduction / Aimmentioning

confidence: 99%

Identifying strategies for implementing a clinical guideline for cancer-related fatigue: a qualitative study

Pearson

Denehy

Edbrooke

2023

BMC Health Serv Res

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Background Clinical practice guidelines assist health professionals’ (HPs) decisions. Costly to develop, many guidelines are not implemented in clinical settings. This paper describes an evaluation of contextual factors to inform clinical guideline implementation strategies for the common and distressing problem of cancer-related fatigue (CRF) at an Australian cancer hospital. Methods A qualitative inquiry involving interviews and focus groups with consumers and multidisciplinary HPs explored key Canadian CRF guideline recommendations. Four HP focus groups examined the feasibility of a specific recommendation, while a consumer focus group examined experiences and preferences for managing CRF. Audio recordings were analysed using a rapid method of content analysis designed to accelerate implementation research. Strategies for implementation were guided by the Consolidated Framework for Implementation Research. Results Five consumers and 31 multidisciplinary HPs participated in eight interviews and five focus groups. Key HP barriers to fatigue management were insufficient knowledge and time; and lack of accessible screening and management tools or referral pathways. Consumer barriers included priority for cancer control during short health consultations, limited stamina for extended or extra visits addressing fatigue, and HP attitudes towards fatigue. Enablers of optimal fatigue management were alignment with existing healthcare practices, increased HP knowledge of CRF guidelines and tools, and improved referral pathways. Consumers valued their HPs addressing fatigue as part of treatment, with a personal fatigue prevention or management plan including self-monitoring. Consumers preferred fatigue management outside clinic appointments and use of telehealth consultations. Conclusions Strategies that reduce barriers and leverage enablers to guideline use should be trialled. Approaches should include (1) accessible knowledge and practice resources for busy HPs, (2) time efficient processes for patients and their HPs and (3) alignment of processes with existing practice. Funding for cancer care must enable best practice supportive care.

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Prise en charge chirurgicale des ganglions dans le cancer de l’endomètre au stade I

Baubil

Querleu

2014

Imagerie de la Femme

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Cancer guideline development in Europe: A survey among ECCO members

Cited by 3 publications

References 2 publications

Adherence to Guidelines in Gynecologic Cancer Surgery

Adherence to Guidelines in Gynecologic Cancer Surgery

Identifying strategies for implementing a clinical guideline for cancer-related fatigue: a qualitative study

Prise en charge chirurgicale des ganglions dans le cancer de l’endomètre au stade I

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