TAILIEUCHUNG - Management of patients with lung cancer

The use of a reference standard consisting of colposcopy and directed biopsy served two purposes. The treatment decision was supposed to be based on colposcopic impression (with lab results coming later to identify any cancers that might have been missed) to reduce the number of visits and the loss to follow-up care. However, district hospital staff usually preferred to wait for the biopsy result to come back before offering treatment. Second, the use of colposcopy allowed comparison to conventional cytology and the evaluation of the proposed triage methods: VIA, VILI, and VIAM. Women for whom pregnancy was known or suspected. | SI GN NHS Quality Improvement Scotland Scottish Intercollegiate Guidelines Network Management of patients with 80 lung cancer A national clinical guideline 1 Introduction 1 2 Presentation and referral 3 3 Smoking cessation 6 4 Diagnostic investigations 7 5 Staging 11 6 Surgery 16 7 Radiotherapy 21 8 Chemotherapy 24 9 Combined modalities 28 10 Endobronchial and vascular therapies 31 11 Complementary therapies 34 12 Multidisciplinary teams follow up and communication 35 13 Supportive and palliative care 37 14 Implementation and further research 39 15 Information for discussion with patients and carers 41 16 Development of the guideline 45 Abbreviations 48 Annexes 50 References 56 February 2005 COPIES OF ALL SIGN GUIDELINES ARE AVAILABLE ONLINE AT KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS LEVELS OF EVIDENCE 1 High quality meta-analyses systematic reviews of randomised controlled trials RCTs or RCTs with a very low risk of bias 1 Well conducted meta-analyses systematic reviews of RCTs or RCTs with a low risk of bias 1 - Meta-analyses systematic reviews of RCTs or RCTs with a high risk of bias 2 High quality systematic reviews of case control or cohort studies High quality case control or cohort studies with a very low risk of confounding or bias and a high probability that the relationship is causal 2 Well conducted case control or cohort studies with a low risk of confounding or bias and a moderate probability that the relationship is causal 2 - Case control or cohort studies with a high risk of confounding or bias and a significant risk that the relationship is not causal 3 Non-analytic studies eg case reports case series 4 Expert opinion GRADES OF RECOMMENDATION Note The grade of recommendation relates to the strength of the evidence on which the recommendation is based. It does not reflect the clinical importance of the recommendation. A B C D At least one meta-analysis systematic review of RCTs or RCT rated as 1 and directly .

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