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- Baldewpersad Tewarie, N., et al.
(författare)
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An overview of Clinical Quality Registries (CQRs) on gynecological oncology worldwide
- 2022
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Ingår i: European Journal of Surgical Oncology. - : Elsevier BV. - 0748-7983. ; 48:10, s. 2094-2103
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Forskningsöversikt (refereegranskat)abstract
- Introduction: Clinical Quality Registries (CQRs) were initiated in order to compare clinical outcomes between hospitals or regions within a country. To get an overview of these CQRs worldwide the aim of this study was to identify these CQRs for gynecological oncology and to summarize their characteristics, processes and QI's and to establish whether it is feasible to make an international comparison in the future. Methods: To identify CQRs in gynecological oncology a literature search in Pubmed was performed. All papers describing the use of a CQR were included. Administrative, epidemiological and cancer registries were excluded as these registries do not primarily serve to measure quality of care through QI's. The taskforce or contact person of the included CQR were asked to participate and share information on registered items, processes and indicators. Results: Five nations agreed to collaborate: Australia, Denmark, Italy, the Netherlands and Sweden. Denmark, Netherlands and Sweden established a nationwide registry, collecting data on multiple tumor types, and various QI's. Australia and Italy included patients with ovarian cancer only. All nations had a different process to report feedback results to participating hospitals. Conclusion: CQRs serve the same purpose to improve quality of care but vary on different aspects. Although similarities are observed in the topics measured by the QI's, an international comparison was not feasible as numerators or denominators differ between registries. In order to compare on an international level it would be useful to harmonize these registries and to set an international standard to measure the quality of care with similar indicators.
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- Marcickiewicz, J., et al.
(författare)
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The wait time to primary surgery in endometrial cancer - impact on survival and predictive factors: a population-based SweGCG study
- 2022
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Ingår i: Acta Oncologica. - : Informa UK Limited. - 0284-186X .- 1651-226X. ; 61:1, s. 30-37
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Tidskriftsartikel (refereegranskat)abstract
- Background Poor survival rates in different cancer types are sometimes blamed on diagnostic and treatment delays, and it has been suggested that such delays might be related to sociodemographic factors such as education and ethnicity. We examined associations of the wait time from diagnosis to surgery and survival in endometrial cancer (EC) and explored patient and tumour factors influencing the wait time. Material and methods In this historical population-based cohort study, The Swedish Quality Registry for Gynaecologic Cancer (SQRGC) was used to identify EC patients who underwent primary surgery between 2010 and 2018. Factors associated with a wait time > 32 d were analysed with logistic regression. The 32-d time point was defined in accordance with the Swedish Standardisation Cancer Care programme. Adjusted Poisson regression analyses were used to analyse excess mortality rate ratio (EMRR). Results Out of 7366 women, 5535 waited > 32 d for surgery and 1098 > 70 d. The overall median wait time was 44 d. The factors most strongly associated with a wait time > 32 d were surgery at a university hospital (adjusted odds ratio [OR] 1.34, 95% confidence interval [CI] 1.08-1.66) followed by country of birth (OR 1.31, 95% CI 1.10-1.55) and year of diagnosis. There were no associations between wait time and histology or age. A wait time < 15 d was associated with higher mortality (adjusted EMRR 2.29,95% CI 1.36-3.84) whereas no negative survival impact was seen with a wait time of 70 d. Age, tumour stage, histology and risk group were highly associated with survival, whereas education, country of origin and hospital level did not have any impact on survival. Conclusions Surgery within the first two weeks after EC diagnosis was associated with worsened survival. A prolonged wait time did not seem to have any significant adverse effect on prognosis.
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- Orejuela, Silvia, et al.
(författare)
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Establishing factors to consider while adopting the agile approach in manufacturing companies
- 2022
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Ingår i: SPS 2022 - Proceedings of the 10th Swedish Production Symposium. - : IOS Press BV. - 9781614994398 ; 21, s. 341-353
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Konferensbidrag (refereegranskat)abstract
- Due to the current fast-paced business environment, new approaches to product development (PD) have been requested. In that matter, the agile approach has gained interest among researchers and practitioners. Based on its positive results in the software industry, it has started to be adopted in the manufacturing industry. Nevertheless, there are factors that manufacturing companies must consider while adopting the agile approach, and there is a lack of in-depth empirical studies about those factors. In that matter, this paper presents the preliminary findings of a single case study of a large manufacturing company. The data collection consisted of fifteen semi-structured interviews with persons with key roles in different organizational functions. The identified factors were analyzed and presented according to a product development system (PDS) perspective which encompasses people, process, and technology and tools subsystems. For the people subsystem, the study identified factors related to cross-functional integration and coordination, cross-functional communication, organizational culture, understanding of the agile approach, definition of roles and responsibilities, and people involvement and support. In respect of the process subsystem, the study identified factors associated with workload leveling and development interfaces. Regarding the technology and tools subsystem, the study identified factors related to the integration of information systems, and technology and manufacturing readiness levels. As a result, the study contributes further to the establishment of the factors that may influence the adoption of the agile approach in the PDS of a large manufacturing company.
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- Rai, Chinthan, et al.
(författare)
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Additive Manufacturing Decision Support Systems : A Systematic Literature Review Discerning Current and Future Directions
- 2022
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Ingår i: SPS 2022 - Proceedings of the 10th Swedish Production Symposium. - 2352-7528 .- 2352-751X. - 9781614994398 ; 21, s. 553-565
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Konferensbidrag (refereegranskat)abstract
- Additive manufacturing (AM) was introduced the 1980's for rapid prototyping (RP) purposes but now AM provides complementary techniques to conventional manufacturing processes and offers advantages when components can be exacting, impossible, and too costly to be produced by conventional methods due to complex structures and geometric configurations, which require tailored designs. They are also often mass-customized components, with custom-made properties and low volume production requirements making AM the 'technology of choice' since its added-value aspects cannot be achieved by any other manufacturing technologies. These advancements in manufacturing, demand standardized fact-based decision support systems (DSSs), to support AM practitioners in their task selecting the most suitable techniques for given applications. Hence, this paper aims to increase the understanding of what - of how - DSSs are used in selecting and utilizing AM in various applications. This paper's core message, considering practical implications, is to guide and support AM researchers with an overview of the DSSs for AM landscape. This paper presents and compares different models and tools classified within four categories used as DSS for AM and identifies their advantages and disadvantages by conducting a 3-step systematic literature review (SLR). A total of 388 literatures were initially retrieved, and according to an inclusion criteria analysis, the literatures were evaluated. This is the first SLR emphasizing and synthesizing obtainable literatures on AM DSS. Until now, this topic has acquired narrow exploration; however, the authors believe it is of rapidly growing importance to both scientists and practitioners.
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