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Journal of Lower Genital Tract Disease Apr 2020The 2019 American Society for Colposcopy and Cervical Pathology Risk-Based Management Consensus Guidelines for the management of cervical cancer screening abnormalities...
UNLABELLED
The 2019 American Society for Colposcopy and Cervical Pathology Risk-Based Management Consensus Guidelines for the management of cervical cancer screening abnormalities recommend 1 of 6 clinical actions (treatment, optional treatment or colposcopy/biopsy, colposcopy/biopsy, 1-year surveillance, 3-year surveillance, 5-year return to regular screening) based on the risk of cervical intraepithelial neoplasia grade 3, adenocarcinoma in situ, or cancer (CIN 3+) for the many different combinations of current and recent past screening results. This article supports the main guidelines presentation by presenting and explaining the risk estimates that supported the guidelines.
METHODS
From 2003 to 2017 at Kaiser Permanente Northern California (KPNC), 1.5 million individuals aged 25 to 65 years were screened with human papillomavirus (HPV) and cytology cotesting scheduled every 3 years. We estimated immediate and 5-year risks of CIN 3+ for combinations of current test results paired with history of screening test and colposcopy/biopsy results.
RESULTS
Risk tables are presented for different clinical scenarios. Examples of important results are highlighted; for example, the risk posed by most current abnormalities is greatly reduced if the prior screening round was HPV-negative. The immediate and 5-year risks of CIN 3+ used to decide clinical management are shown.
CONCLUSIONS
The new risk-based guidelines present recommendations for the management of abnormal screening test and histology results; the key risk estimates supporting guidelines are presented in this article. Comprehensive risk estimates are freely available online at https://CervixCa.nlm.nih.gov/RiskTables.
Topics: Adult; Aged; California; Consensus; Early Detection of Cancer; Female; Humans; Middle Aged; Papillomaviridae; Practice Guidelines as Topic; Risk Assessment; Risk Management; Uterine Cervical Neoplasms; Vaginal Smears
PubMed: 32243308
DOI: 10.1097/LGT.0000000000000529 -
La Clinica Terapeutica 2021Having regard to the increasing attention to the issue of safety and health of patients and workers by low, the hypothesis that this topic will be the growing trend in...
Having regard to the increasing attention to the issue of safety and health of patients and workers by low, the hypothesis that this topic will be the growing trend in the next years does not seem to be manifestly unfounded. For this reason, it is wise for healthcare professionals to already be aware that any violation of the interests underlying the legislation in question entails a ruling on civil and/or criminal liability. It is therefore necessary to identify the most suitable means to prevent undue harm occurring, partly to exempt healthcare professionals and hospitals from compensation costs, thereby providing them with recourse to insurance coverage. Healthcare facility organisations must adopt Risk Management techniques as a tool to simultaneously guarantee the effectiveness of health services (in this case), the efficiency of the management economy, and finally compliance with all legally required precautions. This will relegate the occurrence of an adverse event to remote and unpredictable hypotheses, thus guaranteeing useful recourse to insurance coverage to compensate any harm that does occur.
Topics: Compensation and Redress; Delivery of Health Care; Health Personnel; Humans; Liability, Legal; Risk Management
PubMed: 33346331
DOI: 10.7417/CT.2021.2285 -
Comparative Medicine Jun 2017
Topics: Animals; Communicable Diseases; Disease Models, Animal; Humans; Risk Management
PubMed: 28662747
DOI: No ID Found -
World Journal of Emergency Surgery :... 2017In the USA alone, around 22 million patients annually discuss the need for surgical procedure with their surgeon. On a global scale, more than 200 million patients are... (Review)
Review
In the USA alone, around 22 million patients annually discuss the need for surgical procedure with their surgeon. On a global scale, more than 200 million patients are exposed to the risk of undergoing a surgical procedure every year. A crucial part of the informed consent process for surgery is the understanding of risk, the probability of complications, and the predicted occurrence of adverse events. Ironically, risk quantification, risk stratification, and risk management are not necessarily part of a surgeon's core skillset, considering the lengthy surgical training curriculum towards technical excellence. The present review was designed to provide a concise historic perspective on the evolution of our current understanding of risk and probability, which represent the key underlying pillars of the shared decision-making process between surgeons and patients when discussing surgical treatment options.
Topics: Decision Making; History, 15th Century; History, 16th Century; History, 17th Century; History, 20th Century; History, Ancient; History, Medieval; Humans; Physician-Patient Relations; Probability; Risk; Risk Management
PubMed: 28293279
DOI: 10.1186/s13017-017-0125-6 -
The International Journal of Health... Nov 2022Nowadays, due to globalisation, the likelihood that infectious diseases spread rapidly is extraordinarily high. SARS and COVID-19 are two diseases of the Coronavirus... (Review)
Review
OBJECTIVE
Nowadays, due to globalisation, the likelihood that infectious diseases spread rapidly is extraordinarily high. SARS and COVID-19 are two diseases of the Coronavirus family, which developed in China and then spread internationally, causing global public health emergencies. This study investigates the role that risk management and communication systems played in mitigating these emergencies, to establish how they should be improved in the future.
METHODS
A narrative review was carried out to investigate different knowledge domains, such as risk management and communication, risk assessment and indicators, epidemiological and clinical data, diagnostic methods, vaccines, public health and social measures.
RESULTS
On one side, risk management systems assess the main data, knowledge, and indicators on epidemiology, diagnostics, and vaccines (science-based); on the other side, they apply public health and social measures (socially-based). Decision-makers, in fact, implement their actions by constantly balancing these two sides (policy-based).
CONCLUSIONS
A correct crisis management approach should support the governance of pandemics, by harmonising the actual risks assessed by experts with those perceived by the general population. It should incorporate not only the biological, but even the environmental, social and economic aspects of virus emergencies, towards establishing a suitable framework to deal with possible future pandemics.
Topics: Humans; COVID-19; SARS-CoV-2; Emergencies; Communication; Risk Management
PubMed: 35983693
DOI: 10.1002/hpm.3545 -
The Journal of International Medical... Jan 2020
Topics: Animals; Humans; Pharmaceutical Preparations; Risk Assessment; Risk Management
PubMed: 29726289
DOI: 10.1177/0300060518771424 -
Frontiers in Public Health 2022
Topics: Humans; Malpractice; Patient Safety; Risk Management
PubMed: 36133929
DOI: 10.3389/fpubh.2022.970258 -
JAMA Sep 2022
Topics: Humans; Medical Errors; Risk Management
PubMed: 36125487
DOI: 10.1001/jama.2022.13911 -
The Journal of Thoracic and... Aug 2020
Topics: Humans; Lung Transplantation; Risk Management; Tissue Donors
PubMed: 31735380
DOI: 10.1016/j.jtcvs.2019.10.044 -
Sensors (Basel, Switzerland) Dec 2022Blockchain (BC) has recently paved the way for developing Decentralized Identity Management (IdM) systems for different information systems. Researchers widely use it to... (Review)
Review
Blockchain (BC) has recently paved the way for developing Decentralized Identity Management (IdM) systems for different information systems. Researchers widely use it to develop decentralized IdM systems for the Health Internet of Things (HIoT). HIoT is considered a vulnerable system that produces and processes sensitive data. BC-based IdM systems have the potential to be more secure and privacy-aware than centralized IdM systems. However, many studies have shown potential security risks to using BC. A Systematic Literature Review (SLR) conducted by the authors on BC-based IdM systems in HIoT systems showed a lack of comprehensive security and risk management frameworks for BC-based IdM systems in HIoT. Conducting a further SLR focusing on risk management and supplemented by Grey Literature (GL), in this paper, a security taxonomy, security framework, and cybersecurity risk management framework for the HIoT BC-IdM systems are identified and proposed. The cybersecurity risk management framework will significantly assist developers, researchers, and organizations in developing a secure BC-based IdM to ensure HIoT users' data privacy and security.
Topics: Blockchain; Computer Security; Awareness; Dietary Supplements; Risk Management
PubMed: 36616816
DOI: 10.3390/s23010218