Urological cancer care pathways: development and use in the context of systematic reviews and clinical practice guidelines

Sara Jane Maclennan, Steven J Maclennan, Mari Imamura, Muhammad Imran Omar, Luke Vale, Thomas Lam, Pamela Royle, Justine Royle, Satchi Swami, Rob Pickard, Sam McClinton, T R Leyshon Griffiths, Philipp Dahm, James N'dow, UCAN Care Pathway Development Group

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background
Making healthcare treatment decisions is a complex process involving a broad stakeholder base including patients, their families, health professionals, clinical practice guideline developers and funders of healthcare.

Methods
This paper presents a review of a methodology for the development of urological cancer care pathways (UCAN care pathways), which reflects an appreciation of this broad stakeholder base. The methods section includes an overview of the steps in the development of the UCAN care pathways and engagement with clinical content experts and patient groups.

Results
The development process is outlined, the uses of the urological cancer care pathways discussed and the implications for clinical practice highlighted. The full set of UCAN care pathways is published in this paper. These include care pathways on localised prostate cancer, locally advanced prostate cancer, metastatic prostate cancer, hormone-resistant prostate cancer, localised renal cell cancer, advanced renal cell cancer, testicular cancer, penile cancer, muscle invasive and metastatic bladder cancer and non-muscle invasive bladder cancer.

Conclusion
The process provides a useful framework for improving urological cancer care through evidence synthesis, research prioritisation, stakeholder involvement and international collaboration. Although the focus of this work is urological cancers, the methodology can be applied to all aspects of urology and is transferable to other clinical specialties.

Original languageEnglish
Pages (from-to)291-301
Number of pages11
JournalWorld Journal of Urology
Volume29
Issue number3
Early online date4 Feb 2011
DOIs
Publication statusPublished - Jun 2011

Keywords

  • urological cancer
  • care pathways
  • systematic review
  • clinical practice guidelines

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    Maclennan, S. J., Maclennan, S. J., Imamura, M., Omar, M. I., Vale, L., Lam, T., Royle, P., Royle, J., Swami, S., Pickard, R., McClinton, S., Griffiths, T. R. L., Dahm, P., N'dow, J., & UCAN Care Pathway Development Group (2011). Urological cancer care pathways: development and use in the context of systematic reviews and clinical practice guidelines. World Journal of Urology, 29(3), 291-301. https://doi.org/10.1007/s00345-011-0660-9