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Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

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Methods of Documentation V: CBE

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Updated: May 14, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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Published on: January 6, 2023

New staging system: how does it affect our practice?

Peter Goldstraw¹

¹National Heart and Lung Institute, Imperial College, London, United Kingdom. p.goldstraw@rbht.nhs.uk

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology

|February 13, 2013

Summary

This summary is machine-generated.

The TNM staging system for lung cancer, crucial for prognosis, has been updated. The seventh edition introduces significant changes impacting clinical care and research.

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Area of Science:

Oncology
Thoracic Surgery
Pulmonology

Background:

The Tumor, Node, Metastasis (TNM) classification is the primary prognostic tool in lung cancer.
This system guides clinical decisions and research efforts in thoracic oncology.
Updates to the TNM classification significantly impact the lung cancer care community.

Purpose of the Study:

To detail the modifications implemented in the seventh edition of the TNM classification for lung cancer.
To analyze the potential consequences of these changes on patient treatment and scientific investigation.

Main Methods:

Review of the specific alterations in the T, N, and M descriptors within the seventh TNM edition.
Discussion of the implications of revised stage groupings on established clinical pathways.

Main Results:

The seventh edition represents the most substantial revision of the TNM classification in over 40 years.
Changes in staging descriptors and groupings necessitate re-evaluation of treatment strategies.

Conclusions:

The updated TNM classification requires careful consideration by clinicians and researchers.
Adaptation to the new staging system is essential for accurate lung cancer prognostication and treatment planning.