Evidence-based Practice

Four studies report on advances and challenges in improving the quality of cancer care

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New studies reveal important advances in cancer care quality measurement, physician adherence to quality standards, and end-of-life care, while highlighting the overuse of contralateral prophylactic mastectomy.

ONS Connections: Evidence-based nursing has gaps in belief and implementation

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Gaps in evidence-based practice exist, even within an oncology nursing workforce that is well-educated and experienced.

Benefits from breast cancer screening outweighs harm in review of European programs

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Screening has benefits in terms of lives saved that outweigh the harms caused by over-diagnosis, according to a major review of breast cancer screening services in Europe. The review was jointly led by researchers at Queen Mary, University of London.

Best practices reduce CBSIs in children with cancer

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In a prospective, interrupted time series study, a best-practice bundle was used to address all areas of central-line care including reducing entries, having aseptic entries, and using aseptic procedures when changing components.

Recommendations for management of esophageal precancer, cancer

Recommendations for management of esophageal precancer, cancer

Good endoscopic equipment, endoscopic surgery, and good tissue samples are key to diagnosing and managing esophageal conditions.

GVHD in pediatric HSCT patients: Clinical trials for Rituximab

GVHD in pediatric HSCT patients: Clinical trials for Rituximab

The CD20 antagonist is a potentially effective preventive and treatment for this common adverse effect of hematopoietic stem cell transplantation.

Including palliative care at diagnosis is beneficial for patients with advanced cancer

Including palliative care at diagnosis is beneficial for patients with advanced cancer

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ASCO recommends offering palliative care to all patients with metastatic or advanced cancer, ideally at diagnosis.

Using anticoagulants to treat chemotherapy-related VTE

Using anticoagulants to treat chemotherapy-related VTE

Signs and symptoms of venous thromboembolism in oncology patients should be heeded with prompt therapeutic and mechanical interventions.

No need for annual Pap test, says USPSTF

Women aged 21 to 65 years should have a Pap smear every 3 years, but those aged 30 to 65 years can wait 5 years if they also have an HPV test.

Canadian guidelines state mammography is not needed before 50 years

The Canadian Task Force on Preventive Health Care is advising against routine mammography screening for women aged 40 to 49 and says to screen women aged 50 to 74 every 2 to 3 years.

Vitamin D regimen is effective in resolving bone pain related to aromatase-inhibitor therapy

Vitamin D regimen is effective in resolving bone pain related to aromatase-inhibitor therapy

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High-dose vitamin D may relieve, even resolve, severe pain in patients on aromatase inhibitor therapy for breast cancer.

Guidelines reflect changes in radiotherapy for bone metastases

Guidelines reflect changes in radiotherapy for bone metastases

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New ASTRO guidelines for palliative radiotherapy for bone metastases reflect the results of a meta-analysis of 45 studies.

Oncology Nurse Advisor Forum - September/October 2011

The Advisor Forum panel answers nurses' questions about hair loss, mammography timing, and turnaround time for oral chemotherapy agents.

Caring for Your Bones When You Have Prostate Cancer

Caring for Your Bones When You Have Prostate Cancer

This patient fact sheet answers some commonly asked questions about prostate cancer and bone health. It also discusses steps you can take to care for your bones.

Colorectal Cancer: New Tools for Making Decisions About Treatment

Colorectal Cancer: New Tools for Making Decisions About Treatment

This patient fact sheet explains two tests used in an approach called "personalized medicine." Doctors use these tests to plan colorectal cancer treatment that will be the most effective for an individual patient.

Ears like a wolf ...when perspective clouds judgment

Ears like a wolf ...when perspective clouds judgment

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The patient's constant complaining and irritating personality almost overwhelmed his need for care.

Current alcohol consumption guidelines will not prevent cancer

An analysis published online by CMAJ charges that current guidelines for alcohol consumption are inadequate for cancer prevention and that new international guidelines are needed.

Skin care protocol and algorithm helps manage skin reactions in oncology patients undergoing radiation therapy

Skin reactions, common side effects of cancer radiation treatment, can be managed using a skin care protocol and algorithm, according to a presentation at the Oncology Nursing Society 36th Annual Congress.

Determining an effective route of administration for epinephrine: What is the evidence?

Many adult patients with cancer receive medications that have the potential to cause severe hypersensitivity reactions. Immediate management of a hypersensitivity reaction is critical to a successful patient outcome; however, variations in practice led the Oncology Advanced Practice Nursing Group at The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins in Baltimore, Maryland, to question which route of administration of epinephrine is most effective in treating these reactions, according to a presentation during the Oncology Nursing Society 36th Annual Congress.

AICR "plates" new dietary guidelines

The American Institute for Cancer Research is urging people to think about how the famous USDA food pyramid should actually translate to the plate in order to fight cancer and other diseases.

Use evidence-based practice to make your argument

Use evidence-based practice to make your argument

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The goal was to make the case for better pain management without undermining the care team.

Managing asparaginase-related toxicity in adult patients

Managing asparaginase-related toxicity in adult patients

Prompt management of symptoms is key to minimizing risk and maximizing tolerance of this antineoplastic agent.

Fecal test may be best bet for CRC screening

Annual fecal immunochemical testing has proved to be more cost-effective and less costly than all other strategies for colorectal cancer (CRC) screening in a recent model-based economic analysis.

New guidelines from ASTRO for whole breast irradiation

New guidelines from ASTRO for whole breast irradiation

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WBI hypofractionation is as effective as conventional radiation therapy regimens for some patients with early-stage breast cancer.

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