Showing posts with label Alberta. Show all posts
Showing posts with label Alberta. Show all posts
Monday, May 07, 2012
National Guideline Clearinghouse | Epithelial ovarian, fallopian tube, and primary peritoneal cancer - Alberta, Canada
Blogger's Note: note the differences in early stage recommendations per cell type
National Guideline Clearinghouse | Epithelial ovarian, fallopian tube, and primary peritoneal cancer.
Guideline Title
Epithelial ovarian, fallopian tube, and primary peritoneal cancer.
Bibliographic Source(s)
| Alberta Provincial Gynecologic Oncology Tumour Team. Epithelial ovarian, fallopian tube, and primary peritoneal cancer. Edmonton (Alberta): Alberta Health Services, Cancer Care; 2010 Jul. 19 p. (Clinical practice guideline; no. GYNE-005). [104 references] |
Guideline Status
This is the current release of the guideline.
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Scope
Disease/Condition(s)
- Epithelial ovarian cancer
- Fallopian tube cancer
- Primary peritoneal cancer
Guideline Category
Evaluation
Management
Treatment
Clinical Specialty
Obstetrics and Gynecology
Oncology
Radiation Oncology
Surgery
Intended Users
Physician Assistants
Physicians
Guideline Objective(s)
To outline management decisions for women with epithelial ovarian, fallopian tube, or primary peritoneal cancer
Key Points
Key Points
- Completely staged, early epithelial ovarian, fallopian tube, and primary peritoneal cancers are highly curable. As such, patients should be referred to a gynecologic oncologist for adequate staging, including sampling of para-aortic and pelvic lymph nodes, infracolic omentectomy, possible appendectomy and biopsy of suspicious peritoneal lesions, in addition to a thorough inspection and palpation of all peritoneal surfaces, and peritoneal washings.
- Advanced epithelial ovarian, fallopian tube, and primary peritoneal cancers are best treated with optimal debulking surgery in conjunction with adjuvant therapy. As such, patients should be referred to a gynecologic oncologist
Thursday, March 15, 2012
Arch Intern Med -- Abstract: Intensive Care Unit Bed Availability and Outcomes for Hospitalized Patients With Sudden Clinical Deterioration (Calgary, Alberta)
Arch Intern Med -- Abstract: Intensive Care Unit Bed Availability and Outcomes for Hospitalized Patients With Sudden Clinical Deterioration
ONLINE FIRST Intensive Care Unit Bed Availability and Outcomes for Hospitalized Patients With Sudden Clinical Deterioration
Background Intensive care unit (ICU) beds, a scarce resource, may require prioritization of admissions when demand exceeds supply. We evaluated the effect of ICU bed availability on processes and outcomes of care for hospitalized patients with sudden clinical deterioration.
Methods We identified consecutive hospitalized adults in Calgary, Alberta, Canada, with sudden clinical deterioration triggering medical emergency team activation between January 1, 2007, and December 31, 2009. We compared ICU admission rates (within 2 hours of medical emergency team activation), patient goals of care (resuscitative, medical, and comfort), and hospital mortality according to the number of ICU beds available (0, 1, 2, or >2), adjusting for patient, physician, and hospital characteristics (using data from clinical and administrative databases).
Results The cohort consisted of 3494 patients. Reduced ICU bed availability was associated with a decreased likelihood of patient admission within 2 hours of medical emergency team activation (P = .03) and with an increased likelihood of change in patient goals of care (P < .01). Patients with sudden clinical deterioration when zero ICU beds were available were 33.0% (95% CI, –5.1% to 57.3%) less likely to be admitted to the ICU and 89.6% (95% CI, 24.9% to 188.0%) more likely to have their goals of care changed compared with when more than 2 ICU beds were available. Hospital mortality did not vary significantly by ICU bed availability (P = .82).
Conclusion Among hospitalized patients with sudden clinical deterioration, we noted a significant association between the number of ICU beds available and ICU admission and patient goals of care but not hospital mortality.
Wednesday, March 16, 2011
Alberta health board CEO lobbies doctors for patients' help
"....But more doctors are coming forward to discuss how the system hasn't let them speak freely because they face intimidation and punishment, says Independent legislative member Raj Sherman......."cont'd
Read more: http://www.edmontonjournal.com/Alberta+health+board+lobbies+doctors+patients+help/4452643/story.html#ixzz1GoiC9B2m
Thursday, September 09, 2010
Caregiver Consultation 2010 Survey - Alberta Caregivers Association (see definition of 'caregiver')
The Alberta Caregivers Association is conducting a survey of caregivers throughout Alberta to learn about the issues they face. The main focus of the survey will be to capture the real experiences of caregivers so we can better understand the various challenges, barriers, and problems that exist from their points of view.
You can participate in the survey as a caregiver, a professional/service provider, a group of caregivers, or a member of the general public.
Before you begin the survey we need to know who you are responding as:
A caregiver is defined as a family member or friend who provides unpaid care for a loved one. This can be for someone in your home, in their own home, in an assisted living facility, in a group home, in a retirement community or otherwise. Common care tasks could include helping with chores, managing finances, arranging services or just visiting to see how they doing.
An example of a group of caregivers is a caregiver support group offered by an organization.
A professional or service provider is anyone who is paid to work with caregivers and/or the people who need caregiving.
Tuesday, April 20, 2010
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