Qualité de l'information autour du dépistage organisé du cancer du sein en France PDF Download
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Author: Marine Fondacci
Publisher:
ISBN:
Category :
Languages : fr
Pages : 52
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Book Description
Contexte. Le dépistage organisé du cancer du sein est l'objet de controverses scientifiques. Ces controverses accentuent le besoin d'information pour les patientes et pour les médecins. En France, l'INCa est en charge de cette information. Le site Cancer Rose produit une autre information estimant celle de l'INCa incomplète. L'objectif de cette étude était d'analyser la qualité des documents d'information de ces deux sites. Méthode. Différents outils d'information de l'INCa et de Cancer Rose ont été sélectionnés puis analysés à l'aide des critères de la Haute Autorité de santé (HAS), évaluant la rigueur d'élaboration et le contenu des documents. Chaque item a été côté A (absent), P (présent) ou I (présent de manière incomplète). La balance bénéfice-risque du dépistage a été particulièrement étudiée. Résultats-discussion. Le livret d'information de l'INCa et les brochures téléchargeables de Cancer Rose sont les documents respectant le plus les critères HAS. Leurs longueurs (plus de 15 pages chacun) sont responsables d'une dilution de l'information. Les vidéos sont des outils plus accessibles pour les personnes avec un plus faible niveau de littératie en santé. La vidéo de l'INCa respecte très peu les critères et présente la balance bénéfice-risque de manière incomplète. Celles de Cancer Rose semblent manquer d'objectivité avec une présentation plus orientée sur les risques que les bénéfices. Conclusion. En prenant en compte les critères nationaux et internationaux, les futurs outils d'aide à la décision et documents d'information devraient éviter les écueils de la dilution et du manque d'objectivité de l'information.
Author: Marine Fondacci
Publisher:
ISBN:
Category :
Languages : fr
Pages : 52
Get Book Here
Book Description
Contexte. Le dépistage organisé du cancer du sein est l'objet de controverses scientifiques. Ces controverses accentuent le besoin d'information pour les patientes et pour les médecins. En France, l'INCa est en charge de cette information. Le site Cancer Rose produit une autre information estimant celle de l'INCa incomplète. L'objectif de cette étude était d'analyser la qualité des documents d'information de ces deux sites. Méthode. Différents outils d'information de l'INCa et de Cancer Rose ont été sélectionnés puis analysés à l'aide des critères de la Haute Autorité de santé (HAS), évaluant la rigueur d'élaboration et le contenu des documents. Chaque item a été côté A (absent), P (présent) ou I (présent de manière incomplète). La balance bénéfice-risque du dépistage a été particulièrement étudiée. Résultats-discussion. Le livret d'information de l'INCa et les brochures téléchargeables de Cancer Rose sont les documents respectant le plus les critères HAS. Leurs longueurs (plus de 15 pages chacun) sont responsables d'une dilution de l'information. Les vidéos sont des outils plus accessibles pour les personnes avec un plus faible niveau de littératie en santé. La vidéo de l'INCa respecte très peu les critères et présente la balance bénéfice-risque de manière incomplète. Celles de Cancer Rose semblent manquer d'objectivité avec une présentation plus orientée sur les risques que les bénéfices. Conclusion. En prenant en compte les critères nationaux et internationaux, les futurs outils d'aide à la décision et documents d'information devraient éviter les écueils de la dilution et du manque d'objectivité de l'information.
Author: Ulrich Bick
Publisher: Springer Science & Business Media
ISBN: 3540784500
Category : Medical
Languages : en
Pages : 222
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Book Description
Digital Radiography has been ? rmly established in diagnostic radiology during the last decade. Because of the special requirements of high contrast and spatial resolution needed for roentgen mammography, it took some more time to develop digital m- mography as a routine radiological tool. Recent technological progress in detector and screen design as well as increased ex- rience with computer applications for image processing have now enabled Digital Mammography to become a mature modality that opens new perspectives for the diag- sis of breast diseases. The editors of this timely new volume Prof. Dr. U. Bick and Dr. F. Diekmann, both well-known international leaders in breast imaging, have for many years been very active in the frontiers of theoretical and translational clinical research, needed to bring digital mammography ? nally into the sphere of daily clinical radiology. I am very much indebted to the editors as well as to the other internationally rec- nized experts in the ? eld for their outstanding state of the art contributions to this v- ume. It is indeed an excellent handbook that covers in depth all aspects of Digital Mammography and thus further enriches our book series Medical Radiology. The highly informative text as well as the numerous well-chosen superb illustrations will enable certi? ed radiologists as well as radiologists in training to deepen their knowledge in modern breast imaging.
Author: Monica Morrow
Publisher: PMPH-USA
ISBN: 9781550092608
Category : Breast
Languages : en
Pages : 328
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Book Description
Managing Breast Cancer Risk is a single source for information needed by primary care physicians, nurses, gynecologists, as well as oncologic specialists who deal with women who are concerned about breast cancer. Its purpose is to bring together a multidisciplinary group of experts to address breast cancer risk in a clinically meaningful way. Chapters providing detailed information on individual risk factors are accompanied by a discussion of models, which integrate multiple factors for a more complete assessment of risk. Traditional strategies for risk management, including surveillance and prophylactic surgery, are reviewed, and the data on newer techniques such as ductal lavage and screening with magnetic resonance is presented. The rational for chemoprevention with selective estrogen receptor modulators (SERMS) is discussed, and the evidence for tamoxifen as a chemopreventative is updated. The potential for chemoprevention with newer SERMS and the aromatase inhibitors is reviewed. Finally, the critical (and often ignored) areas of quality of life and symptom management are addressed.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: David HouŽto
Publisher: Lulu.com
ISBN: 1291761152
Category : Reference
Languages : fr
Pages : 327
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Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511
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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author: Michel Boiron
Publisher: John Libbey Eurotext
ISBN: 9782742000838
Category : Cancer
Languages : fr
Pages : 436
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Book Description
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: World Health Organization
Publisher:
ISBN: 9789241548120
Category : Medical
Languages : en
Pages : 166
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Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Author: Louis B. Harrison
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781771368
Category : Medical
Languages : en
Pages : 1004
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Book Description
This comprehensive, multidisciplinary text addresses all aspects of head and neck cancer and represents a wide spectrum of specialists, including surgical, radiation, and medical oncologists, dentists, pathologists, radiologists, and nurses. The book focuses on a two-part approach to treatment that maximizes the chance for a cure while maintaining a strong emphasis on quality of life. This Third Edition's updated techniques section includes new radiation techniques such as IMRT and IGRT and new endoscopic and laser surgical techniques. Other highlights include a new chapter on reconstructive techniques; significant updates to all site-specific chapters; updates on chemoprevention and molecular targeting; and discussions of new imaging modalities such as fused PET/CT. A companion Website will offer the fully searchable text with all images.
