Biomedical subjects

W Z Botnick

Publications and source records attributed to W Z Botnick.

4 recordsLinked to original sources

PubMed1999

Reproducibility of guidelines. A comparison of the NCCN and ASCO lung cancer guidelines.

Clinical practice guidelines are reproducible if two groups of experts, presented with the same evidence and methods, derive similar recommendations. Reproducibility is an essential attribute in justifying the use of clinical practice guidelines to guide and monitor physicians' practices. This article will compare guidelines for the management of advanced non-small-cell lung cancer developed by the National Comprehensive Cancer Network (NCCN) with guidelines derived by the American Society of Clinical Oncology (ASCO). This comparison aims to determine whether the two guidelines are similar or whether there are major differences that pose significant problems for clinicians attempting to manage patients according to one oncology standard.

Humans↗

PubMed1998

The NCCN guideline program--1998.

In 1995, the National Comprehensive Cancer Network (NCCN) embarked on an ambitious project to develop comprehensive diagnostic and treatment algorithms for the broad spectrum of oncologic diseases and support modalities. To date, 28 NCCN guideline panels have developed guidelines covering an estimated 93% of tumors, and an additional 9 panels have guidelines under development. This article reviews the NCCN guideline infrastructure and development process. The process relies on the expertise of the 17 NCCN member institutions and follows a formal procedure for guideline development to ensure that the recommendations offer the cancer patient the best chance for a successful outcome.

Humans↗

PubMed1998

Guidelines and disease management.

The four NCCN Guidelines that follow represent the initial deliberations of an institutionally diverse, multidisciplinary panel comprised of internationally recognized experts. These experts have attempted to address the broad range of clinical decisions that oncologists face as they attempt to manage a patient with a particular tumor. The goal of the NCCN guidelines program is to publish comprehensive pathways that will serve as a foundation for all cancer care providers to develop superior disease management programs.

Disease Management↗

PubMed1997

The NCCN Guideline Program: a conceptual framework.

The goal of the National Comprehensive Cancer Network (NCCN) in developing clinical practice guidelines is to provide oncologists with guidance in making difficult clinical decisions. Since the data to make evidence-based decisions are often unavailable, the NCCN method attempts to integrate expert opinion into the process, striving to use that opinion in the most unbiased and reasonable manner through the diversity of its panels and the use of reiterative feedback loops. The development of oncology guidelines is a dynamic process. Each year the NCCN anticipates that the expert opinion elements of the guidelines will either be validated by clinical trial evidence or replaced by newer, sounder approaches.

Decision Making↗