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Urological cancer care pathways: development and use in the context of systematic reviews and clinical practice guidelines.

Abstract：

BACKGROUND:Making healthcare treatment decisions is a complex process involving a broad stakeholder base including patients, their families, health professionals, clinical practice guideline developers and funders of healthcare. METHODS:This paper presents a review of a methodology for the development of urological cancer care pathways (UCAN care pathways), which reflects an appreciation of this broad stakeholder base. The methods section includes an overview of the steps in the development of the UCAN care pathways and engagement with clinical content experts and patient groups. RESULTS:The development process is outlined, the uses of the urological cancer care pathways discussed and the implications for clinical practice highlighted. The full set of UCAN care pathways is published in this paper. These include care pathways on localised prostate cancer, locally advanced prostate cancer, metastatic prostate cancer, hormone-resistant prostate cancer, localised renal cell cancer, advanced renal cell cancer, testicular cancer, penile cancer, muscle invasive and metastatic bladder cancer and non-muscle invasive bladder cancer. CONCLUSION:The process provides a useful framework for improving urological cancer care through evidence synthesis, research prioritisation, stakeholder involvement and international collaboration. Although the focus of this work is urological cancers, the methodology can be applied to all aspects of urology and is transferable to other clinical specialties.

journal_name

World J Urol

journal_title

World journal of urology

authors

Maclennan SJ,Maclennan SJ,Imamura M,Omar MI,Vale L,Lam T,Royle P,Royle J,Swami S,Pickard R,McClinton S,Griffiths TR,Dahm P,N'dow J,UCAN Care Pathway Development Group.

doi

10.1007/s00345-011-0660-9

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

291-301

issue

3

eissn

0724-4983

issn

1433-8726

journal_volume

29

pub_type

杂志文章,评审

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