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Journal articles on the topic 'Patient Pathways'

Author: Grafiati

Published: 29 March 2025

Last updated: 25 July 2025

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1

Dahlin, Sara, and Hendry Raharjo. "Relationship between patient costs and patient pathways." International Journal of Health Care Quality Assurance 32, no. 1 (2019): 246–61. http://dx.doi.org/10.1108/ijhcqa-10-2017-0199.

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Purpose The purpose of this paper is to identify actual (as-is) patient pathway variation among breast cancer patients and to investigate the relationship between pathways and the cost incurred by patients. Design/methodology/approach Both quantitative and qualitative methods were employed to analyze data from four Swedish hospital groups. Quantitative methods include event-log data mining and statistical analyses on the related patient cost from the Swedish breast cancer quality registry and case-costing system. Qualitative methods included collaboration with and interviewing domain experts.

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Hansen, Jens B., Jens F. L. Sørensen, Eva N. Glassou, Morten Homilius, and Torben B. Hansen. "Reducing patient–staff contact in fast-track total hip arthroplasty has no effect on patient-reported outcomes, but decreases satisfaction amongst patients with self-perceived complications: analysis of 211 patients." Acta Orthopaedica 93 (January 24, 2022): 264–70. http://dx.doi.org/10.2340/17453674.2022.1617.

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Background and purpose: Several studies have compared fast-track with conventional pathways for total hip arthroplasty (THA) patients, but none have compared different fast-track pathways. Due to COVID-19 restrictions, our department had to minimize patient–staff contact in the THA pathway. First, telephone consultations were implemented instead of an outpatient clinic visit and subsequently preoperative patient education was discontinued. This enabled us to compare patient-reported outcomes and satisfaction among 3 fast-track pathways. Patients and methods: We collected data from patients tre

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Hu, Chenyu W., Amina A. Qutub, Yihua Qiu, et al. "A Global Proteomic Pathway Map In Acute Myeloid Leukemia (AML)." Blood 122, no. 21 (2013): 1302. http://dx.doi.org/10.1182/blood.v122.21.1302.1302.

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Abstract Background AML has been extensively studied in a gene-to-gene and pathway-to-pathway fashion over the years, unraveling insightful local patterns that capture heterogeneity in patients and identify potential drug targets. However, our understanding of AML from a global and systems perspective is still lacking. A global proteomic pathway map is yet to be drawn to integrate local activity patterns and to translate patient classifications across pathways. This will not only improve our scientific understanding of how different functional pathways are inter-related, but will also enable u

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Ku, Chu-Chang, Chien-Chou Chen, Simon Dixon, Hsien Ho Lin, and Peter J. Dodd. "Patient pathways of tuberculosis care-seeking and treatment: an individual-level analysis of National Health Insurance data in Taiwan." BMJ Global Health 5, no. 6 (2020): e002187. http://dx.doi.org/10.1136/bmjgh-2019-002187.

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IntroductionPatients with tuberculosis (TB) often experience difficulties in accessing diagnosis and treatment. Patient pathway analysis identifies mismatches between TB patient care-seeking patterns and service coverage, but to date, studies have only employed cross-sectional aggregate data.MethodsWe developed an algorithmic approach to analyse and interpret patient-level routine data on healthcare use and to construct patients’ pathways from initial care-seeking to treatment outcome. We applied this to patients with TB in a simple random sample of one million patients’ records in the Taiwan

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Schlencker, Aurelien, Laurent Messer, Marc Ardizzone, et al. "Improving patient pathways for systemic lupus erythematosus: a multistakeholder pathway optimisation study." Lupus Science & Medicine 9, no. 1 (2022): e000700. http://dx.doi.org/10.1136/lupus-2022-000700.

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ObjectiveAmong the most significant challenges in SLE are the excessive diagnosis delay and the lack of coordinated care. The aim of the study was to investigate patient pathways in SLE in order to improve clinical and organisational challenges in the management of those with suspected and confirmed SLE.MethodsWe conducted a cross-sectional study of patients with SLE, healthcare providers and other representative stakeholders. Focus groups were conducted, and based on the collected data the most impactful disruption points in SLE patient pathways were identified. A novel framework to improve i

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Pang, Herbert, and Hongyu Zhao. "Stratified Pathway Analysis to Identify Gene Sets Associated with Oral Contraceptive Use and Breast Cancer." Cancer Informatics 13s4 (January 2014): CIN.S13973. http://dx.doi.org/10.4137/cin.s13973.

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Cancer biomarker discovery can facilitate drug development, improve staging of patients, and predict patient prognosis. Because cancer is the result of many interacting genes, analysis based on a set of genes with related biological functions or pathways may be more informative than single gene-based analysis for cancer biomarker discovery. The relevant pathways thus identified may help characterize different aspects of molecular phenotypes related to the tumor. Although it is well known that cancer patients may respond to the same treatment differently because of clinical variables and variat

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Russell, Kevin, and Francis Maietta. "Simulated Patient Pathways." Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 1, no. 3 (2006): 189. http://dx.doi.org/10.1097/01266021-200600130-00044.

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Swaminathan, Padmapriya, Casey B. Williams, and Tobias Meissner. "Abstract 2271: Patient-specific visualization of cancer pathways." Cancer Research 82, no. 12_Supplement (2022): 2271. http://dx.doi.org/10.1158/1538-7445.am2022-2271.

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Abstract Introduction: Analysis of whole transcriptomics datasets to quantify gene expression and determine differentially expressed genes has provided valuable information for precision medicine. Evaluating enrichment of specific gene groups and pathways, and visualizing these results is an important step to obtain inferences about patient treatment outcomes, overall survival, drug resistance and therapeutic targets. However, pathway analysis of cancer patient samples in a N-of-1 setting without their respective control (normal) samples remains to be challenging. There is a crucial need for

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Hermansen, Sabina Bay, Jens Holmskov, Søren Paaske Johnsen, Jan Mainz, and Søren Valgreen Knudsen. "Quality in practice: applying the patient inventory method at a Danish psychiatric hospital." International Journal for Quality in Health Care 32, no. 7 (2020): 477–79. http://dx.doi.org/10.1093/intqhc/mzaa076.

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Abstract Quality problem Patient care pathways should be organized according to the needs of the patients. This requires methods to assess whether the specific pathways ensure the right care for the right person at the right time and in the right setting. Initial assessment Previous investigations indicate that ~25% of the patients in Danish hospitals experience inappropriate elements in their care pathways. Choice of solution This study applied the Patient Inventory method to identify inappropriate elements in care pathways in 15 psychiatric in-patient wards in Denmark. Implementation The pat

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Glass, Katherine, Chad W. Cummings, Marc A. Shapiro, Dennis Urbanek, and Brian James Bolwell. "Data collection for care pathways in the Cleveland Clinic Health System." Journal of Clinical Oncology 34, no. 7_suppl (2016): 115. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.115.

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115 Background: Care pathways are established methods of reducing healthcare costs and disparities in oncology care. To demonstrate their impact, health systems must measure and report data on care pathway adherence and outcomes in near real-time. Automating data abstraction across a health system for oncology is difficult due to the amount and detail of data required. Manual abstraction of data is considered slow and costly. Many consider Electronic Medical Record (EMR) integration of care pathways essential in order to successfully implement and assess. Methods: 7 medical oncology care pathw

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Markey, Donna W., Jim Mcgowan, and John B. Hanks. "The Effect of Clinical Pathway Implementation on Total Hospital Costs for Thyroidectomy and Parathyroidectomy Patients." American Surgeon 66, no. 6 (2000): 533–39. http://dx.doi.org/10.1177/000313480006600603.

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Clinical pathways have long been used to guide the delivery of patient care in varied practice settings. There is little information in the literature to document the effectiveness of pathway implementation in general surgical populations. This study reports the effect of clinical pathway implementation in two general surgical patient groups, thyroidectomy and parathyroidectomy. Clinical pathways were implemented to serve patients undergoing thyroidectomy and parathyroidectomy surgery. The effects of both clinical pathways on total hospital costs, length of hospitalization, variances, and outc

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Ellis, Peter G., and Kathleen Lokay. "Pathways clinical decision support for appropriate use of key biomarker." Journal of Clinical Oncology 32, no. 30_suppl (2014): 172. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.172.

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172 Background: UPMC CancerCenter (UPMC) has utilized clinical pathways for almost ten years in an effort to ensure standardization to the evidence based care for its patients. UPMC oncologists participate in the various pathways disease committees that develop and maintain the pathways content and utilize the pathways through a web-based portal in their daily decision making and documentation. The pathways cover not only treatment recommendations but also guidance for work up such as recurrence risk tools (OncoType Dx) for node negative, HER2 negative, ER positive breast cancer who are candid

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Smith, O., T. MacLeod, P. Lim, P. Chitsabesan, and S. Chintapatla. "A structured pathway for developing your complex abdominal hernia service: our York pathway." Hernia 25, no. 2 (2021): 267–75. http://dx.doi.org/10.1007/s10029-020-02354-9.

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Abstract Purpose Clinical pathways are widely prevalent in health care and may be associated with increased clinical efficacy, improved patient care, streamlining of services, while providing clarity on patient management. Such pathways are well established in several branches of healthcare services but, to the authors’ knowledge, not in complex abdominal wall reconstruction (CAWR). A stepwise, structured and comprehensive approach to managing complex abdominal wall hernia (CAWH) patients, which has been successfully implemented in our practice, is presented. Methods A literature search of com

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Simon, Shayna, Sadaf Charania, Judy Devlin, et al. "Development of evidence-based clinical pathways for an outpatient oncology acute care clinic." Journal of Clinical Oncology 39, no. 15_suppl (2021): e18676-e18676. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18676.

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e18676 Background: Oncology patients frequently experience acute physical symptoms related to cancer and its treatment. Management of symptoms is best accomplished using evidence-based clinical care. When implementing an advanced practice provider (APP)-led oncology acute care clinic, evidence-based clinical pathways were developed to ensure standardization among treating providers. Methods: The top ten emergency department admitting diagnoses for oncology patients identified by the Centers for Medicare and Medicaid Services provided the foundation for development of the clinical pathways. Rel

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Das, Biswajit, Yvonne A. Evrard, Li Chen, et al. "Integrative analyses of signaling and DNA damage repair pathways in patient-derived xenograft (PDX) models from NCI’s patient-derived models repository (PDMR)." Journal of Clinical Oncology 37, no. 15_suppl (2019): 3111. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.3111.

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3111 Background: Patient-derived xenografts (PDXs) are increasingly being used in translational cancer research for preclinical drug efficacy studies. The National Cancer Institute (NCI) has developed a Patient-Derived Models Repository (NCI PDMR; pdmr.cancer.gov ) of PDXs with clinical annotation, proteomics, and comprehensive genomic datasets to facilitate these studies. Here, we present an integrative genomic, transcriptomic, and proteomic analysis of critical signaling and DNA damage repair pathways in these PDX models, which represent 9 common and multiple rare tumor histologies. Methods:

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Anand, Royana. "Enhancing Patient Care Pathways through AI-Driven Data Science and Program Management Strategies." International Journal of Media and Networks 2, no. 8 (2024): 01–06. http://dx.doi.org/10.33140/ijmn.02.08.04.

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The integration of Artificial Intelligence (AI) and data science into healthcare program management offers transformative potential for enhancing patient care pathways. By leveraging advanced algorithms and data analytics, healthcare organizations can streamline processes, personalize treatment, and improve outcomes. This research paper explores the application of AIdriven data science in optimizing patient care pathways, examines current strategies in program management, and provides recommendations for implementing these technologies to achieve more effective and efficient patient care.

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Coughlan, Jane, Julie Eatock, and Tillal Eldabi. "Evaluating telemedicine: A focus on patient pathways." International Journal of Technology Assessment in Health Care 22, no. 1 (2006): 136–42. http://dx.doi.org/10.1017/s0266462306050938.

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Evaluations of telemedicine have sought to assess various measures of effectiveness (e.g., diagnostic accuracy), efficiency (e.g., cost), and engagement (e.g., patient satisfaction) to determine its success. Few studies, however, have looked at evaluating the organizational impact of telemedicine, which involves technology and process changes that affect the way that it is used and accepted by patients and clinicians alike. This study reviews and discusses the conceptual issues in telemedicine research and proposes a fresh approach for evaluating telemedicine. First, we advance a patient pathw

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Zhang, Lunzhong, Shu Han, Manli Zhao, et al. "Using the Symptom Patient Similarity Network to Explore the Difference between the Chinese and Western Medicine Pathways of Ischemic Stroke and its Comorbidities." Evidence-Based Complementary and Alternative Medicine 2021 (December 1, 2021): 1–12. http://dx.doi.org/10.1155/2021/4961738.

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Background and Objectives. The development of network medicine provides new opportunities for disease research. Ischemic stroke has a high incidence, disability, and recurrence rate, and one of the reasons is that it is often accompanied by other complex diseases, including risk factors, complications, and comorbidities. Network medicine was used to try to analyze the characteristics of IS-related diseases and find out the differences in genetic pathways between Chinese herbs and Western drugs. Methods. Individualized treatment of traditional Chinese medicine (TCM) provides a theoretical basis

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Zon, Robin T., James N. Frame, Michael N. Neuss, et al. "American Society of Clinical Oncology Policy Statement on Clinical Pathways in Oncology." Journal of Oncology Practice 12, no. 3 (2016): 261–66. http://dx.doi.org/10.1200/jop.2015.009134.

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The use of clinical pathways in oncology care is increasingly important to patients and oncology providers as a tool for enhancing both quality and value. However, with increasing adoption of pathways into oncology practice, concerns have been raised by ASCO members and other stakeholders. These include the process being used for pathway development, the administrative burdens on oncology practices of reporting on pathway adherence, and understanding the true impact of pathway use on patient health outcomes. To address these concerns, ASCO’s Board of Directors established a Task Force on Clini

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Vanhaecht, Kris, Massimiliano Panella, Ruben Van Zelm, and Walter Sermeus. "Is there a future for pathways? Five pieces of the puzzle." International Journal of Care Pathways 13, no. 2 (2009): 82–86. http://dx.doi.org/10.1258/jicp.2009.009013.

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In this discussion and opinion paper, the Bureau members of the European Pathway Association present five challenges for the future of care pathways. Pathways will have to be based on the latest available evidence and international databases, and tools will have to be available. If pathways have a future, the organisations should focus on disease-specific oriented care. Evidence-based pathways, which are organised in a disease-specific oriented organisation, can lead to improvement of quality and efficiency but only if we invest in real teamwork. As a fourth challenge, the need for technical s

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Mavor, Meaghan E., Patti A. Groome, Yuka Asai, et al. "Characterising melanoma diagnostic pathways for patients in routine practice using administrative health data in Ontario, Canada: a population-based study." BMJ Open 15, no. 1 (2025): e086140. https://doi.org/10.1136/bmjopen-2024-086140.

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ObjectiveTo characterise diagnostic pathways for patients with melanoma in routine practice and compare patient, disease and diagnostic interval (DI) characteristics across pathways.DesignDescriptive cross-sectional study using administrative health data.SettingPopulation-based study in Ontario, Canada.ParticipantsPatients with melanoma diagnosed from 2007 to 2019.Main outcome measuresWe used latent class cluster analysis to create clusters of patients with similar diagnostic experiences to characterise diagnostic pathways in routine practice. Indicator variables characterised the patient’s ke

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Breckons, M., S. M. Bissett, C. Exley, V. Araujo-Soares, and J. Durham. "Care Pathways in Persistent Orofacial Pain." JDR Clinical & Translational Research 2, no. 1 (2016): 48–57. http://dx.doi.org/10.1177/2380084416679648.

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Persistent orofacial pain is relatively common and known to have an adverse effect on quality of life. Previous studies suggest that the current care pathway may be problematic, but it is not well understood which health services patients access and what their experience is. The aim of this study was to explore care pathways and their impact from the perspective of patients. Qualitative interviews were conducted with a maximum variation sample of patients recruited from primary (community based) and secondary (specialist hospital based) care in the United Kingdom. Questions focused on the stag

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Findlay, Callum, Wei Chern Gavin Fong, Simon Goldie, and Huw Jones. "Implementing criteria-led discharge for acute admissions to facilitate the elective recovery from COVID-19: an example in acute tonsillitis." BMJ Open Quality 12, no. 1 (2023): e002123. http://dx.doi.org/10.1136/bmjoq-2022-002123.

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BackgroundHealthcare systems face unprecedented numbers of patients waiting for elective treatments in the wake of the COVID-19 pandemic. Hospitals must urgently optimise patient pathways and build capacity to meet the populations health needs. Criteria-led discharge (CLD) is frequently used to optimise elective care pathways but may hold potential in discharging patients at the end of an acute hospital admission.MethodsWe conducted a quality improvement project to design and introduce a novel inpatient pathway using CLD for patients with severe acute tonsillitis. Our analysis compared the sta

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Chern, Joshua J., Charles G. Macias, Andrew Jea, Daniel J. Curry, Thomas G. Luerssen, and William E. Whitehead. "Effectiveness of a clinical pathway for patients with cerebrospinal fluid shunt malfunction." Journal of Neurosurgery: Pediatrics 6, no. 4 (2010): 318–24. http://dx.doi.org/10.3171/2010.7.peds09534.

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Object Patients with CSF shunts often present to the emergency department (ED) with suspected shunt malfunction. Timely assessment and treatment are important factors affecting patient outcomes. A protocol was implemented at a tertiary children's hospital ED to expedite the care of these patients. This study evaluated the effectiveness of this protocol. Methods The protocol assigned all patients with CSF shunts into 1 of 3 pathways. If a patient presented with altered mental status, the Cushing triad, acute focal neurological deficit, ongoing seizure activity, or severe dehydration due to emes

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Black, Georgia, and Julie-Ann Moreland. "What your patient needs to know about a non-specific symptom pathway referral for suspected cancer." British Journal of General Practice 74, suppl 1 (2024): bjgp24X737661. http://dx.doi.org/10.3399/bjgp24x737661.

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BackgroundNon-specific symptom (NSS) pathways were implemented in the UK in 2017 to address the needs of patients experiencing symptoms such as weight loss, fatigue, or GP ‘gut feeling’.AimTo explore patients’ experiences of NSS pathways, and their potential support needs in terms of understanding and navigating these pathways.MethodThis study employed ethnographic methods across four NHS trusts in England, including interviews with 28 patients and 28 professionals, patient shadowing, and clinical care observations, to examine NSS pathways for cancer diagnosis. Analysis focused on patient comm

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French, Katy E., Shannon Popovich, B. Bryce Speer, Iris Recinos, and Tayab Andrabi. "Advance electronic screening of patients with cancer leveraging a new EHR to increase efficiency of care delivery, driving clinical care pathways in a perioperative anesthesia assessment center (PAAC), at a comprehensive cancer center." Journal of Clinical Oncology 36, no. 30_suppl (2018): 308. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.308.

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308 Background: Most cancer institutions are using electronic health records (EHRs). With MACRA and MIPS, this number will continue to grow. EHR’s can be frustrating as some are seen as more cumbersome than useful to patient care delivery. In 2017, the MD Anderson cancer center (MDACC) PAAC assessed over 20,000 patients. We wanted to demonstrate positive utility of our EHR. We hypothesized that advanced electronic screening of our cancer patients, leveraging a questionnaire embedded in the EHR, could increase efficiency by driving patient specific perioperative care pathways leading to positiv

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Petit-Steeghs, Violet, Tjerk Jan Schuitmaker-Warnaar, Ciska A. Pruijssers, Gerard van Oortmerssen, and Jacqueline EW Broerse. "A qualitative research on co-creating care pathways for Sarcoma and GIST by stimulating reflection." International Journal of Care Coordination 23, no. 1 (2020): 24–32. http://dx.doi.org/10.1177/2053434520907743.

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Introduction Care Pathway Management intends to enhance the quality of care by restructuring care services. As recipients of care, patients have relevant experiential knowledge on the provision of care, but they are rarely involved in Care Pathway Management due to various barriers. This study aims to acquire insights into how patients can be meaningfully involved in Care Pathway Management. Methods A case study was conducted to assess the implementation of patient involvement in the co-creation of the care pathways of Soft Tissue Sarcoma and Gastrointestinal Stromal Tumour at Erasmus MC Cance

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Araujo de Oliveira Junior, Nilson, Olga Ferreira de Souza, Rodrigo Periquito Cosenza, Martha Valéria Tavares Pinheiro, Angelina Camiletti, and Leonardo Rezende de Siqueira. "Cryoablation of the para-Hisian region." Journal of Cardiac Arrhythmias 32, no. 1 (2019): 6–9. http://dx.doi.org/10.24207/jac.v32i1.528_in.

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Basis: the ablation of the para-Hisian region is a challenge due to the risk of inadvertent lesion of a bundle of His. Cryoablation, due to its slower progression, allows interruption of the application in case of signs of undesired lesions and catheter adhesion during the applications, which has made cryoablation the ideal method for these patients. Objectives: to demonstrate the results of an initial series of patients referred for cryoablation of para-Hisian pathways. Patients and methods: From April 2015 to August 2017, 13 patients were referred for cryoablation due to the necessity for a

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Yeats, Melania, Sue Wedergren, Nicole Fox, and Jon S. Thompson. "The Use and Modification of Clinical Pathways to Achieve Specific Outcomes in Bariatric Surgery." American Surgeon 71, no. 2 (2005): 152–54. http://dx.doi.org/10.1177/000313480507100211.

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Clinical pathways are promoted for standardizing patient care and decreasing resource use without compromising outcome. Once established, we hypothesized that clinical pathways can then be used to modify patient care to achieve specific goals. Our aim was to evaluate a clinical pathway for the bariatric surgical patient that was initially designed to standardize care and later altered to modify the postoperative course. We retrospectively reviewed 150 consecutive patients undergoing open gastric bypass by a single surgeon. The first 50 patients were managed without a formal pathway, (group I).

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Aghdasi, Nava, Mark Whipple, Ian M. Humphreys, Kris S. Moe, Blake Hannaford, and Randall A. Bly. "Automated Surgical Approach Planning for Complex Skull Base Targets: Development and Validation of a Cost Function and Semantic At-las." Surgical Innovation 25, no. 5 (2018): 476–84. http://dx.doi.org/10.1177/1553350618782287.

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Successful multidisciplinary treatment of skull base pathology requires precise preoperative planning. Current surgical approach (pathway) selection for these complex procedures depends on an individual surgeon’s experiences and background training. Because of anatomical variation in both normal tissue and pathology (eg, tumor), a successful surgical pathway used on one patient is not necessarily the best approach on another patient. The question is how to define and obtain optimized patient-specific surgical approach pathways? In this article, we demonstrate that the surgeon’s knowledge and d

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Lee, Grace, and Richard Hodin. "Applying Enhanced Recovery Pathways to Unique Patient Populations." Clinics in Colon and Rectal Surgery 32, no. 02 (2019): 134–37. http://dx.doi.org/10.1055/s-0038-1676479.

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AbstractEnhanced Recovery after Surgery (ERAS) pathways have become popular in colorectal surgery due to their associated decrease in length of stay (LOS), complications, and readmission rate. However, it is unclear if these pathways are safe, feasible, or effective in unique patient populations such as elderly patients, urgent/emergent surgeries, patients with specific comorbidities, inflammatory bowel disease, or pediatric patients. Enhanced recovery pathways appear safe in elderly patients, associated with decreased complications, though with slightly lower rates of adherence and increased

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Skouw-Rasmussen, Naja, and Laura Savini. "Future Care Pathways – A report from the 1st workshop of the EHC Think Tank Workstream on Future Care Pathways." Journal of Haemophilia Practice 10, no. 1 (2023): 74–81. http://dx.doi.org/10.2478/jhp-2023-0013.

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Abstract Introduction A care pathway is defined as “a complex intervention for the mutual decision-making and organisation of care processes for a well-defined group of patients during a well-defined period.” The European Haemophilia Consortium (EHC) established a Think Tank Workstream on Future Care Pathways to identify and address key challenges in shaping future pathways that meet the needs of people with rare diseases while remaining practicable and affordable to healthcare providers in countries with different budgets and resources. This workstream is particularly timely as the introducti

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Gresz, Miklós. "Characteristics of patient pathways in Hungary." Orvosi Hetilap 152, no. 9 (2011): 338–43. http://dx.doi.org/10.1556/oh.2011.29043.

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Over the past four years, there were nearly 250 million registered visits of insured patients in outpatient services in Hungary according to the database of the National Health Insurance Fund. In the process of renewal of health care system it is extremely important to analyze the characteristics of patient pathways. With the analysis of registered visits between 2007 and 2010 the author shows that 65%-96% (average 86%) of the insured patients used the services of outpatient care in the county of their living. This figure was the lowest (65%) in Pest County, which is the service area of severa

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Melby, Line, Kristine Gjermestad, Ingrid K. L. Solem, and Ragnhild Halvorsrud. "On track on the care pathway: Care coordination, information, and communication needs among Norwegian cancer patients." International Journal of Integrated Care 23, S1 (2023): 597. http://dx.doi.org/10.5334/ijic.icic23229.

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Background: Cancer patients may have long-lasting and complex care pathways. These typically involve a wide range of care providers who must coordinate their actions, so that treatment and follow up is experienced as seamless and integrated. Good communication with patients and providing them with the 'right amount' of information is crucial to ensure that patients feel engaged and empowered along the pathway.  The study: This paper reports from an ongoing research study ('Pathway') on the management of patient pathways in Norway, exemplified with cancer pathways. The project aims to giv

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Skouboe, Aske, Zaza Hansen, and Jan Kloppenborg MØller. "Process Improvement in Patient Pathways." Journal of Healthcare Management 64, no. 6 (2019): 415–28. http://dx.doi.org/10.1097/jhm-d-18-00224.

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Brownson, Peter, Oliver Donaldson, Michael Fox, et al. "BESS/BOA Patient Care Pathways." Shoulder & Elbow 7, no. 3 (2015): 214–26. http://dx.doi.org/10.1177/1758573215585656.

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Mæhle, Per Magnus, Ingrid Kristine Small Hanto, Victoria Charlotte Simensen, and Sigbjørn Smeland. "Mind the Differences: How Diagnoses and Hospital Characteristics Influence Coordination in Cancer Patient Pathways." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8818. http://dx.doi.org/10.3390/ijerph18168818.

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Integrated care pathway (ICP) is a prevailing concept in health care management including cancer care. Though substantial research has been conducted on ICPs knowledge is still deficient explaining how characteristics of diagnose, applied procedures, patient group and organizational context influence specific practicing of ICPs. We studied how coordination takes place in three cancer pathways in four Norwegian hospitals. We identified how core contextual variables of cancer pathways affect complexity and predictability of the performance of each pathway. Thus, we also point at differences in c

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Chan, Timothy C. Y., Maria Eberg, Katharina Forster, et al. "An Inverse Optimization Approach to Measuring Clinical Pathway Concordance." Management Science 68, no. 3 (2022): 1882–903. http://dx.doi.org/10.1287/mnsc.2021.4100.

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Clinical pathways outline standardized processes in the delivery of care for a specific disease. Patient journeys through the healthcare system, however, can deviate substantially from these pathways. Given the positive benefits of clinical pathways, it is important to measure the concordance of patient pathways so that variations in health system performance or bottlenecks in the delivery of care can be detected, monitored, and acted upon. This paper proposes the first data-driven inverse optimization approach to measuring pathway concordance in any problem context. Our specific application c

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Rahman, Azmi, Louise Strickland, Hemant Pandit, Crispin Jenkinson, and David Murray. "DIFFERENCES IN EARLY RECOVERY FOLLOWING UNICOMPARTMENTAL KNEE ARTHROPLASTY WITH DAY-CASE AND STANDARD CARE PATHWAYS, ASSESSED USING NOVEL PATIENT-REPORTED MEASURES." Orthopaedic Proceedings 105-B, SUPP_13 (2023): 40. http://dx.doi.org/10.1302/1358-992x.2023.13.040.

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AbstractBackgroundDaycase pathways which aim to discharge patients the same day following Unicompartmental Knee Replacement have been introduced in some centres, though most continue with Standard pathways. While Daycase pathways have cost savings, recovery data comparing pathways is limited. This study aims to compare patient-reported early recovery between Daycase and Standard pathways following UKR.MethodThis study was carried out in two centres that originally used the same Standard recovery pathway for UKR. In one centre, the Standard pathway was modified into a Daycase pathway. 26 Daycas

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Dominguez, Daniel Toro, Ivan Ellson-Lancho, Jordi Martorell-Marugán, Pedro Carmona-Saez, and Marta Alarcón-Riquelme. "SLE-DISEASOME: A WIDE SPECTRUM DATABASE OF SYSTEMIC LUPUS ERYTHEMATOSUS RELEVANT FUNCTIONAL PATHWAYS." Journal of Rheumatology 52, Suppl 1 (2025): 76. https://doi.org/10.3899/jrheum.2025-0390.pt017.

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PT017 / #649Topic:AS12 - Genetics, Epigenetics, TranscriptomicsPOSTER TOUR 04: SLE PATHOGENESIS24-05-2025 10:00 AM - 10:20 AMBackground/PurposeSystemic Lupus Erythematosus (SLE) is an autoimmune disease characterized by unpredictable patterns of flares and remissions, affecting a wide range of tissues and organs. SLE causes significant suffering and mortality, and treatment efficacy varies enormously among patients. The main contributing factor to treatment failure and the broad clinical spectrum observed is the heterogeneity in dysregulated molecular mechanisms across patients. Therefore, the

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Marinova, Petya, and Rali Marinova. "Patient-centred stoma care support: colostomy patients." British Journal of Community Nursing 29, no. 10 (2024): 494–502. http://dx.doi.org/10.12968/bjcn.2024.0088.

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Colostomy patients have distinct needs that require specialised pathways for optimal care. Recognising that these needs vary, based on the type and configuration of the stoma, is crucial. Specialist nurses play a vital role in providing long-term support and expertise. While many stoma nursing services in the UK offer patient pathways, these often lack specificity for different stoma types. Tailoring pathways to colostomy patients can prevent complications, reduce hospital readmissions and enhance quality of life. Community nurses and other healthcare professionals are essential in supporting

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Abernathy, Bailey R., Lisa K. Schroder, Deborah C. Bohn, and Julie A. Switzer. "Low-Energy Pelvic Ring Fractures: A Care Conundrum." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932098540. http://dx.doi.org/10.1177/2151459320985406.

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Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial co

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Blucher, Aurora S., Shannon K. McWeeney, Lincoln Stein, and Guanming Wu. "Visualization of drug target interactions in the contexts of pathways and networks with ReactomeFIViz." F1000Research 8 (June 20, 2019): 908. http://dx.doi.org/10.12688/f1000research.19592.1.

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The precision medicine paradigm is centered on therapies targeted to particular molecular entities that will elicit an anticipated and controlled therapeutic response. However, genetic alterations in the drug targets themselves or in genes whose products interact with the targets can affect how well a drug actually works for an individual patient. To better understand the effects of targeted therapies in patients, we need software tools capable of simultaneously visualizing patient-specific variations and drug targets in their biological context. This context can be provided using pathways, wh

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Khorashad, Jamshid S., Carme Ripoll Fiol, Eva Yebra-Fernandez, et al. ""Function First" Screen of Primary AML Cells Identifies Common and Personalised Therapeutic Targets." Blood 132, Supplement 1 (2018): 1517. http://dx.doi.org/10.1182/blood-2018-99-115417.

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Abstract Background Acute myeloid leukaemia (AML) is a tremendously heterogeneous clonal disorder of haemopoietic progenitor cells and is the most common malignant myeloid disorder in adults. Identified mutations from genomic data cannot provide information about their therapeutic significance without functional data. Hereby, we applied a pooled shRNA library screen to identify the activated signalling pathways essential for the survival of AML cells. Methods Mononuclear cells from seven karyotypically normal AML patients were separated from peripheral blood or bone marrow aspirate at diagnosi

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Ricci-Cabello, Ignacio, Aina María Yañez-Juan, Maria A. Fiol-deRoque, et al. "Assessing the Impact of Multi-Morbidity and Related Constructs on Patient Reported Safety in Primary Care: Generalized Structural Equation Modelling of Observational Data." Journal of Clinical Medicine 10, no. 8 (2021): 1782. http://dx.doi.org/10.3390/jcm10081782.

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We aimed to examine the complex relationships between patient safety processes and outcomes and multimorbidity using a comprehensive set of constructs: multimorbidity, polypharmacy, discordant comorbidity (diseases not sharing either pathogenesis nor management), morbidity burden and patient complexity. We used cross-sectional data from 4782 patients in 69 primary care centres in Spain. We constructed generalized structural equation models to examine the associations between multimorbidity constructs and patient-reported patient safety (PREOS-PC questionnaire). These associations were modelled

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G Masiutin, Maxim, and Maneesh K Yadav. "Alternative androgen pathways." WikiJournal of Medicine 10, no. 1 (2023): X. http://dx.doi.org/10.15347/wjm/2023.003.

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Steroidogenic routes to androgens have been discovered and characterized over the last two decades that fall outside the Δ4 and Δ5 "classical androgen pathways" to testosterone and 5α-dihydrotestosterone. There has been considerable investigation into these routes that has come with natural inconsistencies and overlap in naming that can make it difficult to discover information about them as might be needed in a clinical context. This expository review uses "alternative androgen pathways" to include what has been called the "backdoor" pathway to 5α-dihydrotestosterone, the 5α-dione pathway and

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Pearson, C., J. Fraser, and J. Shelton. "Using English National Cancer Registration and Linked Health Datasets to Assess Variation in Diagnostic Pathway Length for Colorectal and Lung Cancer Patients by Stage and Route to Diagnosis." Journal of Global Oncology 4, Supplement 2 (2018): 75s. http://dx.doi.org/10.1200/jgo.18.62700.

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Background: Understanding factors that contribute to longer diagnostic pathways is important to improve efficiency of these pathways and can provide evidence for the implementation of the forthcoming 28-day Faster Diagnostic Standard (FDS) in England. This analysis uses linked national cancer registrations and other health datasets to define diagnostic pathway length and examine variation by route to diagnosis (RtD), stage and patient characteristics for colorectal and lung cancer patients. Aim: To achieve a more in-depth understanding of the diagnostic pathway for colorectal and lung cancer p

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Mouna, Berquedich, Kamach Oulaid, Masmoudi Malek, and Deshayes Laurent. "An immune memory and negative selection to visualizing clinical pathways from electronic health record data." International Journal of Advances in Applied Sciences (IJAAS) 9, no. 1 (2020): 43–50. https://doi.org/10.11591/ijaas.v9.i1.pp43-50.

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Clinical pathways indicate the applicable treatment order of interventions. In this paper we propose a data-driven methodology to extract common clinical pathways from patient-centric Electronic Health Record data (EHR). The analysis of patient's, can lead to better regarding pathologies. The proposed algorithmic methodology consists to designing a system of control and analysis of patient records based on an analogy between the elements of the new EHRs and the biological immune systems. The detection of patient profiles ensured by biclustering Matrix. We rely on biological immunity to dev

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Mouna, Berquedich, Kamach Oulaid, Masmoudi Malek, and Deshayes Laurent. "An immune memory and negative selection to visualizing clinical pathways from electronic health record data." Indonesian Journal of Electrical Engineering and Computer Science (IJEECS) 19, no. 1 (2020): 336–43. https://doi.org/10.11591/ijeecs.v19.i1.pp336-343.

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Clinical pathways indicate the applicable treatment order of interventions. In this paper we propose a data-driven methodology to extract common clinical pathways from patient-centric Electronic Health Record data (EHR). The analysis of patient's, can lead to better regarding pathologies. The proposed algorithmic methodology consist to designing a system of control and analysis of patient records based on an analogy between the elements of the new EHRs and the biological immune systems. The detection of patient profiles ensured by biclustering Matrix. We rely on biological immunity to deve

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Jha, Rohan, Daria Anderson, and John Rolston. "1000 Propagation of Seizures Throughout the Brain can be Predicted With Patient Specific Seizure Propagation Pathways." Neurosurgery 71, Supplement_1 (2025): 128. https://doi.org/10.1227/neu.0000000000003360_1000.

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INTRODUCTION: The propagation of seizures throughout the brain is well-characterized at the cellular level, though the propagation at the network and whole brain level remains incompletely understood. To this end, the resting state connectivity and structural connectivity of the brain have been characterized and correlated with SEEG investigations and MRI imaging. METHODS: We collated ictal and inter-ictal data from eighteen patients undergoing SEEG investigations for seizure onset zone localization. For each investigation, the location of SEEG contacts were identified in patient space. The ic

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