I endometrial cancer patients with evidence-based treatment programs.docVIP

 PAGE \* MERGEFORMAT 18 I endometrial cancer patients with evidence-based treatment programs [Abstract] Objective case I endometrial cancer patients of surgery and the need for pelvic lymph node dissection of the problem, retrieve the current best clinical evidence for patients with specific conditions for the therapy. Methods According to the principles of evidence-based medicine PICO , ask questions, search the evidence, evaluate the quality of the evidence, and combined treatment in patients with specific conditions. The results were included in the English literature 138, two randomized controlled trials and three clinical guidelines. evidence results show that: for I endometrial cancer, surgical approach and extent of surgery, there is no large RCT evidence, a comprehensive guide to recommended literature, clinical experience and patient circumstances, the surgical procedure is still recommended in patients with abdominal, pelvic lymph nodes in parallel dissection. Conclusion I endometrial cancer type and extent of surgery, there is no strong evidence to support the need to follow the principles of evidence-based medicine, Taking all factors into account. [Keywords:] endometrial cancer; evidence-based medicine Abstract: Objective To study an evidence based treatment plan for a patient with stage I endometrial cancer. Methods According to the PICO (patient intervention comparison outcome) principle, the questions were introduced and the evidences were collected and critically assessed. The specific conditions of the patient were also taken into consideration to design the treatment plan. Results 138 Chinese and English articles, 2 random control trials and 3 clinical guidelines were involved. The collective evidences indicated that there were no RCT to provide evidences about the type and scope of surgery for stage I endometrial cancer. According to the treatment guidelines, article reports, clinical experience and the specific condition of the p