City of Hope Comprehensive Cancer Center, Duarte, CA.
Department of Haematology, Jagiellonian University, Krakow, Poland.
Semin Oncol. 2019 Dec;46(6):433-436. doi: 10.1053/j.seminoncol.2019.01.005. Epub 2019 Nov 20.
Guidelines for the diagnosis, management, and surveillance of cancer patients have evolved with the single goal of improving patient care based on established data when available, or in the absence of firm data, on the standard practices of those with broad experience in actual hands-on patient care. Two initiatives intended to disseminate information to cardio-oncologists, were discussed in this session: the first, from the American Society of Clinical Oncology was focused on available data and the confidence level of that data; the second, from The European Society of Cardiology was a position paper. Interestingly, notwithstanding the somewhat different focus, there is considerable agreement between these two initiatives. Nevertheless, guidelines my not be applicable to all afflicted patients, and may raise questions as to when deviations from published standards should be considered. Such deviations may result in allegations of failure to meet standards of care or legal liability.
癌症患者的诊断、管理和监测指南是随着单一目标的发展而演变的，即根据现有数据改善患者护理，如果没有可靠的数据，则根据具有广泛实际患者护理经验的人的标准实践进行改善。本次会议讨论了旨在向心脏肿瘤学家传播信息的两项举措：第一项举措来自美国临床肿瘤学会，重点关注现有数据及其数据的置信度；第二项举措来自欧洲心脏病学会，是一份立场文件。有趣的是，尽管重点略有不同，但这两项举措之间存在相当大的一致性。然而，指南可能不适用于所有受影响的患者，并且可能会提出何时应考虑偏离已发布标准的问题。这种偏离可能会导致未能达到护理标准或法律责任的指控。
