Related Experiment Video
Updated: Jul 30, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Progress of clinical oncology guidelines development using the Practice Guidelines Development Cycle: the role of
G P Browman1, T E Newman, E A Mohide
1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. ccopgi@fhs.mcmaster.ca
Summary
Oncologists found the development of oncology practice guidelines (PGs) feasible and useful. Practitioner feedback significantly improved evidence-based recommendations (EBRs), demonstrating the value of input in guideline creation.
Area of Science:
- Oncology
- Evidence-Based Medicine
- Health Policy
Background:
- Developing oncology practice guidelines (PGs) is crucial for standardizing cancer care.
- The Practice Guidelines Development Cycle (Cycle) is a framework for creating these guidelines.
- Assessing practitioner input is vital for guideline acceptance and implementation.
Purpose of the Study:
- To update on the oncology practice guideline development process.
- To present survey results on oncologists' opinions regarding initial guidelines.
- To evaluate the Cancer Care Ontario Practice Guidelines Initiative.
Main Methods:
- A mail survey with systematic follow-up was used to gather practitioner opinions.
- Practitioners were identified by cancer center representatives.
- Survey packages included evidence-based recommendations (EBRs) and a nine-item feedback questionnaire.
Main Results:
- Surveys were sent to 423 practitioners for 10 guidelines; 72% responded.
- Guideline quality approval ratings ranged from 86% to 92%.
- 77% of respondents agreed that the EBRs could be approved as PGs, with consistent rates across specialties and practice locations.
Conclusions:
- The process of incorporating practitioner feedback into PG development is feasible and beneficial.
- High survey response rates indicate broad participation is achievable across Ontario.
- Practitioner opinions are valuable for shaping evidence-based guidelines and improving EBRs.
More Related Videos
Related Concept Videos
01:11Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
01:16Clinical Trials
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
01:27Nursing Ethical Principles II
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:11Clinical Trials: Overview
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
01:28Preclinical Development: Overview
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...