Gynecologic Oncology - Evidence-Based Perioperative and Supportive Care 2e

Das Handbuch stellt gewöhnliche ebenso wie spezielle Probleme in der gynäkologischen Klinik in Form evidenzbasierter Behandlungsformen dar und benennt die diagnostischen und therapeutischen Möglichkeiten, die heute zur Verfügung stehen. Datenerhebung, Entscheidungsanalyse, Kosten und Ergebnisse sind die Prozessstufen, die detailliert dargestellt werden. Jedes Kapitel beginnt mit einem klinischen Profil der Krankheit bzw. Beschwerde und stellt eine Methodologie vor, die auf Daten datenbasierende Entscheidungsanalysen verwendet, um schließlich zu einer Behandlungsempfehlung zu gelangen. Ein ?Entscheidungs-Baum? führt Faktoren wie Behandlungsoptionen, erwartete Ergebnisse und Kosten zusammen. Evidenzgrade und Levels werden im Layout unterschiedlich dargestellt und helfen bei der Orientierung. Mit diesem Band liegt das erste konsequent evidenzbasierte Werk zur perioperativen und unterstützenden Versorgung in der gynäkologischen Onkologie vor.Now updated--the only reference to cover perioperative and supportive care in gynecologic oncology within the framework of evidence-based medicine§This clinically practical work details the available diagnostic and therapeutic options for a range of common to very difficult problems specific to perioperative care of gynecologic oncology patients. It is the only book to analyze these issues by employing the principles of evidence-based medicine, featuring an emphasis on data gathering, decision-analysis, costs, and outcomes in order to provide guidelines for superior perioperative and supportive care.§Chapters provide a clinical profile of the disease or problem and exploit data-driven decision analysis methodology to provide recommendations, including cost-effective clinical guidelines, decision "trees" summarizing treatment options, expected outcomes, and relative costs in key areas. The book also includes an informed discussion on the importance of evidence-based medical treatment.§This Second Edition has been fully revised and updated, featuring:§A focus on evidence-based review regarding perioperative issues related to each of the major disease sites in gynecologic oncology§Enhanced "scope of concept" introductions, allowing the reader to reference the concepts while reviewing specific details in the clinically oriented chapters§Grades and levels of evidence highlighted throughout, indicating what the sum of existing evidence suggests regarding key topics§A practical chapter on the prevention and treatment of laparoscopic complications§The role of perioperative herbal supplements, along with necessary precautions§An increased number of tables and algorithms for vital decision-making areas§A section on the management of end-of-life complications such as tumor-related bowel obstruction, persistent ascites, and pleural effusion--common afflictions in patients with advanced gynecologic cancer§Discussions on the challenge of pain management at end of life§Included and expanded from the first edition are the basics and physiologic principles of perioperative and critical care, as well as essential procedures and clinical tools.§The information provided in this important work is much needed in the everyday management of patients with gynecologic cancer. It is an indispensable resource for gynecologists, gynecologic oncologists, gynecologic surgeons, and fellows and residents in these disciplines; general surgeons; medical students; nurses; and nurse practitioners.