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Smarter medicine

Société Suisse de Néphrologie (SSN)

The decision to start a chronic dialysis must be part of a shared and individualized decision-making process between patients, their families and their doctors. This process includes the assessment of individual patient goals and preferences, as well as providing information on the prognosis, expected benefits and potential side effects of dialysis within these goals and preferences. Limited observational data suggest that survival may not differ significantly for older adults with a high ...

Smarter medicine

Société Suisse de Radio-Oncologie (SSRO)

• Randomized studies have not shown any benefit in terms of overall survival prognosis due to the addition of total brain radiotherapy to stereotactic radiosurgery in the management of selected patients with good physical condition and brain metastases of solid tumors. • Adding complete brain radiation to stereotactic radiosurgery results in decreased cognitive function and, in patients' view, worsening fatigue and quality of life. These results corroborate the impaired cognitive functions ...

Smarter medicine

Société Suisse de Radio-Oncologie (SSRO)

• Patients with low-risk of endometrial cancer (including those who no longer have diseased cells after a hysterectomy, despite a positive biopsy), with grade 1 or 2 tumor extension, an invasion of less than 50% and with no additional high-risk characteristics such as age (over 60 years old), invasion of the lymphovascular space or cervical involvement, have a very low risk of recurrence at the end of surgery. • Meta-analysis studies of radiotherapy for low-risk endometrial cancer show ...

Smarter medicine

Société Suisse de Radio-Oncologie (SSRO)

• Studies suggest equivalent pain relief after 30 Gy given over 10 sessions, 20 Gy over 5 sessions, or 8 Gy in a single session. • A single session is less restrictive but may involve a higher rate of reprocessing on the same area. • A single session of 8 Gy should be considered as a priority for patients with limited survival prognosis or with transportation difficulties.

Smarter medicine

Société Suisse de Radio-Oncologie (SSRO)

• Patients with prostate cancer have several reasonable options for management. These include surgery and radiotherapy, but also conservative monitoring without treatment when the patient's case is appropriate. • Sharing decision-making between the patient and their physician can help to better align the patient's care plan with treatment, and ensure more effective delivery of care. • ASTRO has published decision support documents for patients regarding prostate cancer and many other ...