2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines

2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines
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DOI:
10.1093/eurheartj/ehw211
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发表时间:
2016-09-21
影响因子:
39.3
通讯作者:
Windecker, Stephan
Windecker, Stephan
中科院分区:
医学1区
文献类型:
--
作者:
Zamorano, Jose Luis;Lancellotti, Patrizio;Windecker, Stephan

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编制方案协商组文件的任务不仅包括整合最新的研究,而且包括为各项建议制定教育工具和执行方案。为了实施这些文件,我们制作了精简的袖珍指南版本、摘要幻灯片和数字应用程序(智能手机等)的电子版本,以及根据主题制作的其他教育工具。这些版本经过了删节,因此,如果需要,应该始终参考全文版本,该版本可在ESC网站上免费获得。鼓励ESC国家心脏学会认可、翻译和实施所有CPG文件(指南和立场文件)。实施方案是必要的,因为事实表明,彻底应用临床建议可能会对疾病的结果产生有利影响。需要进行调查和登记,以验证现实生活中的日常实践是否与指南中的建议保持一致,从而完成临床研究、编写指南、传播指南并将其实施到临床实践之间的循环。鼓励保健专业人员在进行临床判断以及在确定和实施预防、诊断或治疗性医疗战略时充分考虑到CPG准则和立场文件。然而,这些CPG文件并不以任何方式推翻卫生专业人员在适当和/或必要时考虑每位患者的健康状况并与患者及其护理人员协商后做出适当和准确决定的个人责任。保健专业人员也有责任在开处方时核实适用于药物和器械的规则和条例。
The task of developing CPG documents covers not only integration of the most recent research, but also the creation of educational tools and implementation programmes for the recommendations. To implement these documents, condensed pocket guidelines versions, summary slides and an electronic version for digital applications (smartphones, etc.) are produced as well as other educational tools depending on the topic. These versions are abridged and thus, if needed, one should always refer to the full text version, which is freely available on the ESC website. The National Cardiac Societies of the ESC are encouraged to endorse, translate and implement all CPG documents (guidelines and position papers). Implementation programmes are needed because it has been shown that the outcome of disease may be favourably influenced by the thorough application of clinical recommendations. Surveys and registries are needed to verify that real-life daily practice is in keeping with what is recommended in the guidelines, thus completing the loop between clinical research, writing of guidelines, disseminating them and implementing them into clinical practice. Health professionals are encouraged to take the CPG Guidelines and Position Papers fully into account when exercising their clinical judgment, as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies. However, these CPG documents do not override in any way whatsoever the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient’s health condition and in consultation with that patient and the patient’s caregiver where appropriate and/or necessary. It is also the health professional’s responsibility to verify the rules and regulations applicable to drugs and devices at the time of prescription.