Clinical outcome data for symptomatic breast cancer: the breast cancer clinical outcome measures (BCCOM) project

Bates, Tom; Kearins, Olive; Monypenny, I.; Lagord, Catherine; Lawrence, Gavin P.

doi:10.1038/sj.bjc.6605155

Cited by 19 publications

(24 citation statements)

References 12 publications

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“…Surgical registries can provide essential clinical and cost‐effectiveness data for policy and guidelines development . They also help develop (inter)national research collaborations as well as promote patient choice, trust, and transparency . Other benefits include facilitating inter(national) benchmarking and personal audit .…”

Section: Discussionmentioning

confidence: 99%

“…Other benefits include facilitating inter(national) benchmarking and personal audit . Successful registries have helped drive healthcare quality improvement, improve patient safety, and allowed service providers to monitor quality and identify variations in practice . It has also been recognized that registry data can serve as a valuable alternative to randomized trials .…”

Section: Discussionmentioning

confidence: 99%

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Guidelines on the surgical management of sleep disorders: A systematic review

2019

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Objective To facilitate the development of U.K. guidelines for sleep surgery and to guide sleep surgeons to existing guidelines relevant to their practice, we provide a systematic review and quality assessment of all existing guidelines on the surgical management of sleep disorders. Methods Systematic review using preferred reporting items for systematic reviews and meta‐analyses (PRISMA) recommendations. Medline and Embase databases were searched from inception to April 2018. Publications were included if they described a guideline for the surgical management of sleep disorders. Three assessors used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate included guidelines. Results The systematic search revealed 1,161 publications. Twenty‐two guidelines from eight countries were included. Fourteen focused on adults, five on children, and three on both. The guidelines discussed nasal, tonsillar, palatal, tongue, hyoid, maxillomandibular, tracheal, bariatric, and multilevel surgeries. The mean overall AGREE II quality score of included guidelines was 3.5 (range = 2 to 5.3; maximum possible score = 7). Conclusion This article provides a summary and quality assessment of all published guidelines on the surgical management of sleep disorders. No U.K. guidelines were identified, and existing guidelines have several shortcomings. This highlights the need for robust U.K. national guidelines on sleep surgery to promote clinical and cost‐effective care in this field. Our findings can be used by stakeholders as a foundation for the development of new guidelines and can be used by sleep surgeons to direct them to existing guidelines relevant to their practice, promoting evidence‐based clinical care. Laryngoscope, 130:1070–1084, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Guidelines on the surgical management of sleep disorders: A systematic review

2019

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“…Frequently cited pathologic data from US and Europe, such as the US Surveillance, Epidemiology and End Results (SEER) database, Breast Cancer Clinical Outcome Measures (BCCOM) database, the European ONCOPOOL database, and other large‐scale population studies,32–38 were used to compare the characteristics between the Western and Chinese. In detail, the Caucasian data of tumor size, pathologic type, AJCC stage, ER and PR status from US SEER database and HER2 status data from the IMPATH laboratories were used as US representative data 32, 34, 37.…”

Section: Methodsmentioning

confidence: 99%

“…In detail, the Caucasian data of tumor size, pathologic type, AJCC stage, ER and PR status from US SEER database and HER2 status data from the IMPATH laboratories were used as US representative data 32, 34, 37. Tumor size data from BCCOM database,33 pathologic type from ONCOPOOL database,35 AJCC stage, ER and PR status from Switzerland36, HER2 status from England38 were used as Europe representative data.…”

Section: Methodsmentioning

confidence: 99%

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Kotlarz¹,

Gunnarsson²,

Fang³

et al. 2010

Arthritis & Rheumatism

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We believe there are at least 3 reasons for this overestimation of OA-attributable medical expenditures. First, Kotlarz and colleagues appear to have identified the sample based on self-reported OA. The sensitivity of self-reported OA in the MEPS is very low (6). That, combined with evidence from a national population-based survey that the accuracy of self-reported arthritis was almost twice as high among people who had been hospitalized for this condition (7), suggests that the study cohort as defined is likely biased toward those with more severe and costly OA, which would elevate both the individual and aggregate estimates.Second, the population prevalence of OA used to calculate the aggregate estimate was based on data for AORC (46.4 million adults, or 21%) (8), deflated by 5% to remove the subpopulation with rheumatoid arthritis and then further adjusted for insurance status. The specific estimate used was not presented in Kotlarz and colleagues' report but is likely much higher than the best available estimate for OA (27 million) provided in the companion article (9) to the one they cite, thus elevating the aggregate estimate.Third, the modeling of the OA-attributable costs included adjustment for only 5 chronic conditions: hypertension, hyperlipidemia, diabetes mellitus, anxiety disorders, and asthma. This is a short list, considering the frequent co-occurrence of OA with other expensive chronic conditions (e.g., heart disease). In effect, these OA-attributable expenditure estimates include the costs of other expensive medical conditions that occur more frequently among people with OA. Lee et al describe how inadequate adjustment for comorbid conditions can falsely increase the magnitude of OA-attributable costs (10).Population-based cost-of-illness studies are an important source of information for policymakers and society. Cost-ofillness research is rapidly evolving with wider use of econometric modeling like that used in Kotlarz and colleagues' study. As the field evolves, we need to understand and share the methodological complexities inherent in the design of such studies, clearly communicate the methodology of our studies, and continually question whether results (our own and those of others) seem reasonable, especially in light of existing literature.

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“…(1) According to World Health Organization 2010, there were about 519,000 women who die from breast cancer annually and about one million of women develop breast cancer each year. (2,3) The most recent study by Ibrahim et al (4) reported that cancer incidence rates based on national and regional level of Egypt revealed 157 per 100,000 among females. The commonest site was breast (32.0%) and the study added that by 2050, this incidence will be a 3-fold increase cancer relative to 2013 estimated rates.…”

Section: Introductionmentioning

confidence: 99%

Effect of intervention educational program about breast cancer preventive measures on Assuit University employees’ knowledge, practices & health habits

Ahmad¹

2017

IJND

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Background: Breast cancer is the top cancer in women worldwide and is increasing particularly in developing countries where the majority of cases are diagnosed in late stages. It is considered curable if detected early, education to promote early diagnosis and screening are two major components of early detection of breast cancer. The aim of the study was to identify the effect of the intervention educational program about breast cancer preventive measures and breast self-examination on the level of knowledge, practices and health habits of female employees in Assiut University. Subjects and Methods: The study was carried out in six colleges representing all colleges of Assiut University e.g. Faculty of Art, Education, and Commerce as Humanities & business colleges and three from scientific colleges such as Veterinary, Agriculture and Nursing. All female employees worked in the previously mentioned settings during the time of the study and accepted to participate were included in the study sample. Their total number was 100 female employees. Results: Most female employees had poor knowledge about breast cancer. A significant improvement after receiving the interventional program related to knowledge and practice of BSE among the study group compared to the control group and a very strong association and positive relationship between knowledge of breast cancer and breast self-examination performance among the study group compared to control group. Conclusion: A marked improvement of the participants' knowledge about breast cancer & practice of breast self-examination. However, their consumption of daily health habits was not changed markedly. Recommendations: Strengthen outreach program to females in order to provide them with information, education and communication as well as screening services.

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Clinical outcome data for symptomatic breast cancer: the breast cancer clinical outcome measures (BCCOM) project

Cited by 19 publications

References 12 publications

Guidelines on the surgical management of sleep disorders: A systematic review

Guidelines on the surgical management of sleep disorders: A systematic review

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Effect of intervention educational program about breast cancer preventive measures on Assuit University employees’ knowledge, practices & health habits

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