Patients’ decision making
-
Participants considering early-phase cancer clinical trials (CTs) need to understand the unique risks and benefits prior to providing informed consent. This qualitative study explored the factors that influence patients’ decisions about participating in early-phase cancer immunotherapy CTs through the ethical lens of relational autonomy.
12p vishanshan 27-06-2024 1 1 Download
-
After curative surgery for early-stage breast cancer, patients face a decision on whether to undergo surgery alone or to receive one or more adjuvant treatments, which may lower the risk of recurrence. Variations in survival outcomes are often marginal but there are differences in the side effects and other features of the options that patients may value differently.
8p vishanshan 27-06-2024 3 1 Download
-
Intensive Care Unit (ICU) capacity management is essential to provide high-quality healthcare for critically ill patients. Yet, consensus on the most favorable ICU design is lacking, especially whether ICUs should deliver dedicated or non-dedicated care. The decision for dedicated or non-dedicated ICU design considers a trade-off in the degree of specialization for individual patient care and efficient use of resources for society.
9p vishanshan 27-06-2024 1 1 Download
-
A significant proportion of patients and informal caregivers favor an active role in decisions concerning their health. Simultaneously, governments aim to shift treatment from a professional care setting to a community setting, in light of an ageing population, a decreasing number of health workers and allocation of scarce resources.
12p vishanshan 27-06-2024 1 1 Download
-
Existing knowledge on healthcare use and costs in the last months of life is often limited to one patient group (i.e., cancer patients) and one level of healthcare (i.e., secondary care). Consequently, decision-makers lack knowledge in order to make informed decisions about the allocation of healthcare resources for all patients.
13p vishanshan 27-06-2024 1 1 Download
-
Patient-centredness has become a central quality indicator for oncology care. Elements include shared decision-making, patient navigation and integration of psychosocial care, which impact patient-reported and clinical outcomes. Despite efforts to promote patient-centred care in Germany in recent decades, implementation remains fragmented.
10p vishanshan 27-06-2024 2 1 Download
-
Clinically significant portal hypertension (CSPH) seriously affects the feasibility and safety of surgical treatment for hepatocellular carcinoma (HCC) patients. The aim of this study was to establish a new surgical scheme defining risk classification of post-hepatectomy liver failure (PHLF) to facilitate the surgical decision-making and identify suitable candidates for individual hepatectomy among HCC patients with CSPH.
14p vikoch 27-06-2024 1 1 Download
-
Adenocarcinoma of the ampulla of Vater (AoV) is one of the rare periampullary cancers, and due to its anatomical location, it is categorized into various histologic subtypes. Its rarity and diversity pose challenges in treatment decision-making for patients with advanced AoV carcinoma. This study investigated the efficacy and safety of the combined regimen of capecitabine and oxaliplatin (CAPOX) in a real-world clinical setting.
9p vikoch 27-06-2024 2 1 Download
-
Tumor Treating Fields (TTFields) Therapy is an FDA-approved therapy in the first line and recurrent setting for glioblastoma. Despite Phase 3 evidence showing improved survival with TTFields, it is not uniformly utilized. We aimed to examine patient and clinician views of TTFields and factors shaping utilization of TTFields through a unique research partnership with medical neuro oncology and medical social sciences.
11p vikoch 27-06-2024 1 1 Download
-
This study aims to explore the priorities and counselling needs of patients with muscle-invasive bladder cancer faced with a decision between radical cystectomy and trimodality therapy.
10p vikoch 27-06-2024 1 1 Download
-
Evidence - based practice (EBP) has not only emerged as a trend but has also established itself as a standard in nursing professional practice. Consequently, it is imperative that undergraduate nursing students are proficient in EBP before graduation. This study aims to evaluate nursing students’ competencies (knowledge, skills, and attitudes) in EBP.
7p visergeyne 18-06-2024 1 0 Download
-
The main aim of this study is to define the clinical criteria which must be considered in order to come to an adequate decision whether a patient with intracranial arteriovenous malformation (AVM) should be operated upon or treated conservatively.
92p vimeyers 29-05-2024 5 2 Download
-
Informed by the experiences and expertise of seasoned pharmacists and GPs, this reference guide provides pharmacists working in the community with the treatment information they need when they need it. Each chapter incorporates a decision-making framework which distills the information necessary for treatment along with suggestions on “when to refer” set off in summary boxes.
432p vimeyers 29-05-2024 3 2 Download
-
Part 1 book "Feline orthopaedics" includes content: Introduction to feline orthopaedic surgery; examination and diagnostic tools; management of the orthopaedic trauma patient; fracture classification, decision making and bone healing; instruments and implants; fracture fixation methods: principles and techniques; arthrology; forelimb fractures; other disorders of the forelimb; hindlimb fractures.
209p muasambanhan10 03-04-2024 1 0 Download
-
Part 1 book "Decision making in veterinary practice" includes content: How to define your success as a clinician; how to obtain a patient history; informed consent; risks, benefits, and ageism; client education beyond informed consent; the most important thing an owner needs to know; euthanasia; referrals chapter 8 the influence of economics on decision making; how to optimize patient outcomes; medical errors.
140p muasambanhan10 03-04-2024 6 0 Download
-
Part 2 book "Decision making in veterinary practice" includes content: The influence of patient weight on decision making, the influence of age and aging on decision making, the day of the week matters, the time of day matters, serial monitoring of laboratory results, overdiagnosis and useful diagnosis,... and other contents.
133p muasambanhan10 03-04-2024 2 0 Download
-
A multi-disciplinary approach to promote engagement, inform decision-making and support clinicians and patients is increasingly advocated to realise the potential of genome-scale sequencing in the clinic for patient benefit. Here we describe the results of establishing a genomic medicine multi-disciplinary team (GM-MDT) for case selection, processing, interpretation and return of results.
12p vibransone 28-03-2024 2 2 Download
-
Newborn screening aims to identify individual patients who could benefit from early management, treatment, and/or surveillance practices. As sequencing technologies have progressed and we move into the era of precision medicine, genomic sequencing has been introduced to this area with the hopes of detecting variants related to a vastly expanded number of conditions.
13p vibransone 28-03-2024 7 2 Download
-
Children with relapsed central nervous system (CNS tumors), neuroblastoma, sarcomas, and other rare solid tumors face poor outcomes. This prospective clinical trial examined the feasibility of combining genomic and transcriptomic profiling of tumor samples with a molecular tumor board (MTB) approach to make real‑time treatment decisions for children with relapsed/refractory solid tumors.
18p vicwell 29-02-2024 5 1 Download
-
Plantaris tendinopathy and plantaris-associated Achilles tendinopathy can be responsible for chronic pain in the Achilles tendon midportion, often accompanied by medial tenderness. As conservative treatments are less successful for this patient group, proper diagnosis is important for decision making.
4p vilazada 31-01-2024 2 2 Download