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微观卫生技术评估作为临床管理的工具:特尔尼“圣玛丽亚”医院乳腺科的经验

Micro HTA as a tool for clinical governance: the experience of the Breast Unit in "Santa Maria" Terni Hospital.

作者信息

Sanguinetti A, Lucchini R, Triola R, Avenia S, Bistoni G, Conti C, Santoprete S, Avenia N

出版信息

G Chir. 2013 Nov-Dec;34(11-12):307-10.

PMID:24342156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3926467/
Abstract

The last decade has witnessed the affirmation of the paradigm Health Technology Assessment (HTA) as a tool for government innovation technology in health care. As is known, this is an approach of evaluation oriented policy making that, in addition to provide for the disclosure of its results, it is proposed to consider simultaneously the clinical, economic, organizational, ethical and social issues arising from the introduction or disposal of a health technology, understood in the broadest sense of the term. In order to reconstruct a realistic picture of its level of implementation we have reproduced a micro HTA which served to assess the Harmonic Focus® device usefulness in breast surgery.

摘要

过去十年见证了健康技术评估(HTA)范式作为政府医疗保健创新技术工具的确立。众所周知,这是一种以评估为导向的决策方法,除了公布其结果外,还建议同时考虑从广义的健康技术的引入或处置中产生的临床、经济、组织、伦理和社会问题。为了重建其实施水平的现实图景,我们重现了一个微观HTA,用于评估Harmonic Focus®设备在乳腺手术中的效用。

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Micro HTA as a tool for clinical governance: the experience of the Breast Unit in "Santa Maria" Terni Hospital.微观卫生技术评估作为临床管理的工具:特尔尼“圣玛丽亚”医院乳腺科的经验
G Chir. 2013 Nov-Dec;34(11-12):307-10.
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本文引用的文献

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Preventing seroma formation after axillary dissection for breast cancer: a randomized clinical trial.预防乳腺癌腋窝清扫术后血清肿形成的随机临床试验。
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Prospective randomized comparison of conventional instruments and the Harmonic Focus(®) device in breast-conserving therapy for primary breast cancer.前瞻性随机对照研究比较常规器械与 Harmonic Focus(®)设备在原发性乳腺癌保乳治疗中的应用。
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Axillary lymph node dissection for breast cancer utilizing Harmonic Focus®.乳腺癌腋窝淋巴结清扫术采用 Harmonic Focus®。
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Ultrasound scissors versus electrocautery in axillary dissection: our experience.腋窝淋巴结清扫术中超声刀与电刀的应用:我们的经验
G Chir. 2010 Apr;31(4):151-3.
5
Incidence of arm lymphoedema following sentinel node biopsy, axillary sampling and axillary dissection in patients with breast cancer.乳腺癌患者行前哨淋巴结活检、腋窝取样和腋窝清扫术后手臂淋巴水肿的发生率。
In Vivo. 2009 Nov-Dec;23(6):1017-20.
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Modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system.采用电热双极血管闭合系统行改良根治性乳房切除术及腋窝淋巴结清扫术。
Arch Surg. 2008 Jun;143(6):575-80; discussion 581. doi: 10.1001/archsurg.143.6.575.
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Effect of harmonic scalpel on seroma formation following surgery for breast cancer: a prospective randomized study.谐波手术刀对乳腺癌手术后血清肿形成的影响:一项前瞻性随机研究。
J BUON. 2008 Apr-Jun;13(2):223-30.
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Expanding the scientific basis of health technology assessment: a research agenda for the next decade.拓展卫生技术评估的科学基础:未来十年的研究议程。
Int J Technol Assess Health Care. 2006 Summer;22(3):275-80; discussion 280-2. doi: 10.1017/s0266462306051130.
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The development of health technology assessment.卫生技术评估的发展。
Health Policy. 2003 Feb;63(2):121-32. doi: 10.1016/s0168-8510(02)00059-3.