Robin Adam M, Kalkanis Steven N, Rock Jack, Lee Ian, Rosenblum Mark L
Department of Neurosurgery, Hermelin Brain Tumor Center, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
J Neurooncol. 2014 Sep;119(3):473-9. doi: 10.1007/s11060-014-1492-4. Epub 2014 Jun 25.
The Joint Section on Tumors of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons is now in its 30th year. In many ways its growth and development has paralleled neurosurgery and medicine as a whole. This is most evident in our endeavor towards more patient-centered care and focus on quantity and quality of life. As the push towards evidence-based care continues, it is important to ensure that individualized care remains a guiding principle. Conscientious surgeons continue to refine techniques and develop technologies that push the boundaries of surgical efficacy while better defining the risks of surgery and the impacts of surgical complications. This article provides a review of the factors involved in minimizing risk and obtaining maximal outcomes for patients through insightful patient selection and evidence-based surgical decision-making. Herein, we present the philosophy and practice of the Hermelin Brain Tumor Center at the Henry Ford Health System as one type of approach to caring for the patient with a malignant glioma.
美国神经外科医师协会和神经外科医师大会肿瘤联合分会如今已成立30周年。在许多方面，其发展与整个神经外科及医学并行。这在我们致力于以患者为中心的护理并关注生活质量和数量方面最为明显。随着循证护理的推进，确保个性化护理仍是指导原则至关重要。尽责的外科医生不断完善技术并开发技术，在更好地界定手术风险和手术并发症影响的同时，突破手术疗效的界限。本文通过深入的患者选择和循证手术决策，综述了将患者风险降至最低并实现最大治疗效果所涉及的因素。在此，我们介绍亨利·福特医疗系统赫尔梅林脑肿瘤中心的理念和实践，作为护理恶性胶质瘤患者的一种方法。
