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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 8/2017

01-08-2017 | Melanomas

Melanoma Surgery: Why Don’t We Let the Guidelines Guide Practice?

Authors: Ravinder Kang, MD, MS, Sandra L. Wong, MD, MS

Published in: Annals of Surgical Oncology | Issue 8/2017

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Excerpt

In the current era of evidence-based medicine, clinical practice guidelines (CPGs), care pathways, and best practice protocols are ubiquitous. CPGs are systematically developed statements, designed to assist clinicians and patients with decisions regarding appropriate care.1 Public health agencies and professional societies tasked with creating these guidelines are faced with the challenge of providing comprehensive, specific, understandable, and clinically usable recommendations. Underlying the tremendous effort of creating CPGs is the assumption that once the guideline is in place, it will be used to guide care. …
Literature
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Lohr KN, Field MJ (eds). Clinical practice guidelines: directions for a new program. National Academies Press, Washington, DC; 1990.
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Varey A, Madronio C, Cust A, Goumas C, Mann G, Armstrong B, et al. Poor adherence to national clinical management guidelines: a population-based, cross-sectional study of the surgical management of melanoma in New South Wales, Australia. Ann Surg Oncol. 2017. doi:10.​1245/​s10434-017-5890-7.PubMed
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Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don’t physicians follow clinical practice guidelines?: A framework for improvement. JAMA. 1999;282(15):1458–65.CrossRefPubMed
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Ransohoff DF, Pignone M, Sox HC. How to decide whether a clinical practice guideline is trustworthy. JAMA. 2013;309(2):139–40.CrossRefPubMed
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Ethun CG, Delman KA. The importance of surgical margins in melanoma. J Surg Oncol. 2016;113:339–45.CrossRefPubMed
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Abdelsattar ZM, Reames BN, Regenbogen SE, Hendren S, Wong SL. Critical evaluation of the scientific content in clinical practice guidelines. Cancer. 2015;121(5):783–9.CrossRefPubMed
Metadata
Title
Melanoma Surgery: Why Don’t We Let the Guidelines Guide Practice?
Authors
Ravinder Kang, MD, MS
Sandra L. Wong, MD, MS
Publication date
01-08-2017
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 8/2017
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-017-5891-6

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