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Shifting the Paradigm: The Impact of AI at the Point of Care in Cancer Treatment 范式转变：人工智能在癌症治疗中的影响
Journal of Clinical Pathways Pub Date : 2024-06-01 DOI: 10.25270/jcp.2024.05.03
Stephen Speicher, Will Shapiro, Taylor Dias-Foundas
{"title":"Shifting the Paradigm: The Impact of AI at the Point of Care in Cancer Treatment","authors":"Stephen Speicher, Will Shapiro, Taylor Dias-Foundas","doi":"10.25270/jcp.2024.05.03","DOIUrl":"https://doi.org/10.25270/jcp.2024.05.03","url":null,"abstract":"This report explores the transformative impact of artificial intelligence (AI) in health care, emphasizing its potential paradigm shift and current deployment in oncology.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"60 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141277093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bringing Value to Health Care 为医疗保健带来价值
Journal of Clinical Pathways Pub Date : 2024-06-01 DOI: 10.25270/jcp.2024.05.02
Andrew L Pecora, Lili Brillstein, M. Albitar, Nasim Asfar, Joel Brill, Jeffrey R. Curtis, Andrew von Eschenbach, Deborah Goss, Andre Goy, Max Holfert, Andrew Ip, Allen Karp, Mark Lutes, Steven Madreperla, Patrick A. Roth, Miruna Sasu, Robert Shelley, Robin L. Smith, Nina Tandon, Dan Varga, Richard Winters
{"title":"Bringing Value to Health Care","authors":"Andrew L Pecora, Lili Brillstein, M. Albitar, Nasim Asfar, Joel Brill, Jeffrey R. Curtis, Andrew von Eschenbach, Deborah Goss, Andre Goy, Max Holfert, Andrew Ip, Allen Karp, Mark Lutes, Steven Madreperla, Patrick A. Roth, Miruna Sasu, Robert Shelley, Robin L. Smith, Nina Tandon, Dan Varga, Richard Winters","doi":"10.25270/jcp.2024.05.02","DOIUrl":"https://doi.org/10.25270/jcp.2024.05.02","url":null,"abstract":"Health care in the US remains challenged by affordability, availabili­ty, and wasteful spending. To address these challenges, the various constituents in health care payment and delivery all seek to reduce total cost of care while maintaining or improving the relevant clinical outcome expected (value-based care). It is generally acknowledged that health care is not one system but is, in fact, fragmented in control and delivery between local and national commercial payers, government payers, employers, private and public providers, and drug and device manufacturers, all of whom are overseen by state and federal reg­ulations. To help guide further discussion on current and evolving value-based care strategies, this paper provides insights and perspective from each constit­uent involved in shaping health care payment and delivery throughout the US.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"57 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive Genomic Testing: Tissue Stewardship and Best Practices 综合基因组测试：组织管理与最佳实践
Journal of Clinical Pathways Pub Date : 2024-04-01 DOI: 10.25270/jcp.2024.03.01
R. Previs, Maureen E. Cooper, Kyle C. Strickland, Heidi Ko, Michelle F. Green, F. Koohestani, S. Hastings, Zachary D. Wallen, S. Pabla, Jeffrey M. Conroy, M. Nesline, Shengle Zhang, Durga Prasad Dash, Brian J. Caveney, Marcia Eisenberg, Eric A Severson, Shakti H. Ramkissoon
{"title":"Comprehensive Genomic Testing: Tissue Stewardship and Best Practices","authors":"R. Previs, Maureen E. Cooper, Kyle C. Strickland, Heidi Ko, Michelle F. Green, F. Koohestani, S. Hastings, Zachary D. Wallen, S. Pabla, Jeffrey M. Conroy, M. Nesline, Shengle Zhang, Durga Prasad Dash, Brian J. Caveney, Marcia Eisenberg, Eric A Severson, Shakti H. Ramkissoon","doi":"10.25270/jcp.2024.03.01","DOIUrl":"https://doi.org/10.25270/jcp.2024.03.01","url":null,"abstract":"Biomarker-driven targeted therapies have shaped the oncology treatment landscape for patients with advanced solid tumors over the past decade. Comprehensive genomic profiling (CGP) has played a key role in precision medicine as it enables simultaneous identification of multiple biomarkers to guide cancer diagnosis, therapy selection, and prognostication. As a result, tissue stewardship for successful CGP testing is paramount. In addition, widespread adoption of less invasive sampling techniques leaves less diagnostic tissue for additional or future testing as smaller biopsies are acquired. To help oncology care practitioners overcome these challenges, this paper provides an overview of current genomic testing methodologies and offers guidelines on best practices for tissue stewardship and preanalytic practices for successful CGP testing and efficient turnaround times for laboratory tests.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"3 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140354115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Key Factors Driving Low Participation in the Enhancing Oncology Model 导致 "加强肿瘤治疗模式 "参与率低的关键因素
Journal of Clinical Pathways Pub Date : 2024-02-01 DOI: 10.25270/jcp.2024.01.01
Theresa Dreyer
{"title":"The Key Factors Driving Low Participation in the Enhancing Oncology Model","authors":"Theresa Dreyer","doi":"10.25270/jcp.2024.01.01","DOIUrl":"https://doi.org/10.25270/jcp.2024.01.01","url":null,"abstract":"This study investigates the challenges leading to a substantial de­cline in participation among academic oncology practices within the Enhancing Oncology Model (EOM), introduced as a successor to the Oncology Care Mod­el (OCM) by the CMS Innovation Center. Analyzing the withdrawal of 14 practic­es from the EOM, previously part of the OCM Collaborative, three primary factors are identified: immediate downside risk in a context of narrow provider margins, inadequate risk adjustment failing to appropriately account for drug costs, and onerous reporting burdens for extensive clinical data. Under the EOM, immedi­ate downside risk for seven specified cancers diverged significantly from the OCM’s upside-only risk structure, posing financial challenges for practices. Inad­equate risk adjustment, particularly the omission of crucial clinical data, raised concerns about the model’s focus on drug costs without considering essen­tial patient-specific variables. The study also highlights the burden of reporting requirements, exacerbated by reduced enhanced services payments, impacting practices financially. To address these challenges and encourage EOM participa­tion, policy options are proposed. These include reconsidering financial risk lev­els, refining target price methodology to incorporate clinical data, and reducing reporting burdens by aligning data requirements with EOM financial and quality methodologies. These adjustments aim to strengthen the EOM, fostering more accurate performance measurement and incentivizing high-quality patient care delivery in oncology practices.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"3 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Multidisciplinary Team Processes in Lung Cancer Care: A Self-Assessment Toolkit and Best Practices 加强肺癌护理中的多学科团队流程：自我评估工具包和最佳做法
Journal of Clinical Pathways Pub Date : 2024-02-01 DOI: 10.25270/jcp.2024.01.02
Poka Cui, Peter Blanshard, María Teresa Campos-Partera, A. Moucquot, S. H. R. Naqvi, D. Dellamonica, Heather Moses
{"title":"Enhancing Multidisciplinary Team Processes in Lung Cancer Care: A Self-Assessment Toolkit and Best Practices","authors":"Poka Cui, Peter Blanshard, María Teresa Campos-Partera, A. Moucquot, S. H. R. Naqvi, D. Dellamonica, Heather Moses","doi":"10.25270/jcp.2024.01.02","DOIUrl":"https://doi.org/10.25270/jcp.2024.01.02","url":null,"abstract":"Multidisciplinary teams (MDTs) play a pivotal role in the comprehen­sive management of cancer. MDT meetings (MDTMs) bring together specialized experts across the entire patient care spectrum, convening regularly to discuss patient cases, select optimal diagnostic strategies, and determine the most ap­propriate treatment modalities. By fostering cross-disciplinary interaction, MDTs aim to enhance patient outcomes and elevate the collective proficiency within a health care institution, promoting knowledge dissemination and ensuring health care practitioners remain abreast of the latest clinical insights. This study’s methods comprised an extensive review of existing literature coupled with in­terviews involving lung cancer MDTs from 24 medical centers across Europe and Canada. The research focused on elucidating dynamics and variations observed among lung cancer MDTs, outlining an optimal MDT process, identifying varianc­es in the study sample, and introducing a comprehensive self-assessment tool­kit for continuous evaluation and improvement. The report discusses how these results should be used to self-optimize hospital MDTs, promote standardization, and encourage increased cross-hospital best practices sharing. With this, MDTs will be better positioned to deliver on the key goal of improved patient outcomes while promoting equality of access to health care.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"73 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Social Determinants of Health Beyond Race on Survival in Metastatic Prostate Cancer: A Systematic Literature Review 种族之外的健康社会决定因素对转移性前列腺癌患者生存期的影响：系统性文献综述
Journal of Clinical Pathways Pub Date : 2023-12-01 DOI: 10.25270/jcp.2023.11.01
S. Freedland, Imtiaz Samjoo, Emily Rosta, A. Lansing, Alexandra Hall, Manvir Rai, A. Niyazov, J. Nazari, B. Arondekar
{"title":"The Impact of Social Determinants of Health Beyond Race on Survival in Metastatic Prostate Cancer: A Systematic Literature Review","authors":"S. Freedland, Imtiaz Samjoo, Emily Rosta, A. Lansing, Alexandra Hall, Manvir Rai, A. Niyazov, J. Nazari, B. Arondekar","doi":"10.25270/jcp.2023.11.01","DOIUrl":"https://doi.org/10.25270/jcp.2023.11.01","url":null,"abstract":"A systematic literature review by Stephen J. Freedland, MD, and colleagues summarizes the current evidence relating to social determinants of health beyond race and survival in patients with metastatic prostate cancer.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"85 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Economic Impact of Implementing HealthPathways at a Musculoskeletal Radiology Department 在肌肉骨骼放射科实施健康之路的临床和经济影响
Journal of Clinical Pathways Pub Date : 2023-12-01 DOI: 10.25270/jcp.2023.11.02
Simon Davies, Kathleen Lyons, Kausik Mukherjee, Ramakrishna Kishore, Khurram Hashmi, Maria Dyban, Anna Kuczynska
{"title":"Clinical and Economic Impact of Implementing HealthPathways at a Musculoskeletal Radiology Department","authors":"Simon Davies, Kathleen Lyons, Kausik Mukherjee, Ramakrishna Kishore, Khurram Hashmi, Maria Dyban, Anna Kuczynska","doi":"10.25270/jcp.2023.11.02","DOIUrl":"https://doi.org/10.25270/jcp.2023.11.02","url":null,"abstract":"Simon R. Davies, MBBCh, and colleagues investigate the impact of HealthPathways on management and primary care clinicians in a musculoskeletal radiology department.","PeriodicalId":507805,"journal":{"name":"Journal of Clinical Pathways","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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