I-SWOT as instrument to individually optimize therapy of thoracoabdominal aortic aneurysms: Effective, norm-compliant and meeting the needs

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I-SWOT as instrument to individually optimize therapy of thoracoabdominal aortic aneurysms: Effective, norm-compliant and meeting the needs. / Sachweh, A; von Kodolitsch, Y; Kölbel, T; Larena-Avellaneda, A; Wipper, S; Bernhardt, A M; Girdauskas, E; Detter, C; Reichenspurner, H; Blankart, C R; Debus, E S.

in: GEFASSCHIRURGIE, Jahrgang 22, Nr. Suppl 1, 2017, S. 8-16.

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@article{9b8f3da3b4a84709bd1997c60feb4fde,
title = "I-SWOT as instrument to individually optimize therapy of thoracoabdominal aortic aneurysms: Effective, norm-compliant and meeting the needs",
abstract = "BACKGROUND: Guidelines summarize medical evidence, they identify the most efficient therapy under study conditions and recommend this therapy for use. The physician now has the challenge to translate a therapy that is efficient under laboratory conditions to a patient who is an individual person. To accomplish this task the physician has to make sure that (I) the ideal typical therapy is applicable and effective in this individual patient taking the special features into consideration, that (II) therapy is compliant with the norm including guidelines, laws and ethical requirements (conformity) and that (III) the therapy meets the patient's needs.OBJECTIVE: How can physicians together with the patients translate the medical evidence into an individually optimized therapy?MATERIAL AND METHODS: At the German Aortic Center in Hamburg we use I‑SWOT as an instrument to identify such individually optimized therapy. With I‑SWOT, we present an instrument with which we have developed an (I) efficient, (II) conform and (III) needs-oriented therapeutic strategy for individual patients.RESULTS: I-SWOT cross-tabulates strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients. This I‑SWOT matrix identifies four fundamental types of strategy, which comprise {"}SO{"} maximizing strengths and opportunities, {"}WT{"} minimizing weaknesses and threats, {"}WO{"} minimizing weaknesses and maximizing opportunities and {"}ST{"} maximizing strengths and minimizing threats. We discuss the case of a patient with asymptomatic thoracoabdominal aneurysm to show how I‑SWOT is used to identify an individually optimized therapy strategy.",
author = "A Sachweh and {von Kodolitsch}, Y and T K{\"o}lbel and A Larena-Avellaneda and S Wipper and Bernhardt, {A M} and E Girdauskas and C Detter and H Reichenspurner and Blankart, {C R} and Debus, {E S}",
year = "2017",
doi = "10.1007/s00772-017-0245-z",
language = "English",
volume = "22",
pages = "8--16",
journal = "GEFASSCHIRURGIE",
issn = "0948-7034",
publisher = "Springer",
number = "Suppl 1",

}

RIS

TY - JOUR

T1 - I-SWOT as instrument to individually optimize therapy of thoracoabdominal aortic aneurysms: Effective, norm-compliant and meeting the needs

AU - Sachweh, A

AU - von Kodolitsch, Y

AU - Kölbel, T

AU - Larena-Avellaneda, A

AU - Wipper, S

AU - Bernhardt, A M

AU - Girdauskas, E

AU - Detter, C

AU - Reichenspurner, H

AU - Blankart, C R

AU - Debus, E S

PY - 2017

Y1 - 2017

N2 - BACKGROUND: Guidelines summarize medical evidence, they identify the most efficient therapy under study conditions and recommend this therapy for use. The physician now has the challenge to translate a therapy that is efficient under laboratory conditions to a patient who is an individual person. To accomplish this task the physician has to make sure that (I) the ideal typical therapy is applicable and effective in this individual patient taking the special features into consideration, that (II) therapy is compliant with the norm including guidelines, laws and ethical requirements (conformity) and that (III) the therapy meets the patient's needs.OBJECTIVE: How can physicians together with the patients translate the medical evidence into an individually optimized therapy?MATERIAL AND METHODS: At the German Aortic Center in Hamburg we use I‑SWOT as an instrument to identify such individually optimized therapy. With I‑SWOT, we present an instrument with which we have developed an (I) efficient, (II) conform and (III) needs-oriented therapeutic strategy for individual patients.RESULTS: I-SWOT cross-tabulates strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients. This I‑SWOT matrix identifies four fundamental types of strategy, which comprise "SO" maximizing strengths and opportunities, "WT" minimizing weaknesses and threats, "WO" minimizing weaknesses and maximizing opportunities and "ST" maximizing strengths and minimizing threats. We discuss the case of a patient with asymptomatic thoracoabdominal aneurysm to show how I‑SWOT is used to identify an individually optimized therapy strategy.

AB - BACKGROUND: Guidelines summarize medical evidence, they identify the most efficient therapy under study conditions and recommend this therapy for use. The physician now has the challenge to translate a therapy that is efficient under laboratory conditions to a patient who is an individual person. To accomplish this task the physician has to make sure that (I) the ideal typical therapy is applicable and effective in this individual patient taking the special features into consideration, that (II) therapy is compliant with the norm including guidelines, laws and ethical requirements (conformity) and that (III) the therapy meets the patient's needs.OBJECTIVE: How can physicians together with the patients translate the medical evidence into an individually optimized therapy?MATERIAL AND METHODS: At the German Aortic Center in Hamburg we use I‑SWOT as an instrument to identify such individually optimized therapy. With I‑SWOT, we present an instrument with which we have developed an (I) efficient, (II) conform and (III) needs-oriented therapeutic strategy for individual patients.RESULTS: I-SWOT cross-tabulates strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients. This I‑SWOT matrix identifies four fundamental types of strategy, which comprise "SO" maximizing strengths and opportunities, "WT" minimizing weaknesses and threats, "WO" minimizing weaknesses and maximizing opportunities and "ST" maximizing strengths and minimizing threats. We discuss the case of a patient with asymptomatic thoracoabdominal aneurysm to show how I‑SWOT is used to identify an individually optimized therapy strategy.

U2 - 10.1007/s00772-017-0245-z

DO - 10.1007/s00772-017-0245-z

M3 - SCORING: Journal article

C2 - 28715514

VL - 22

SP - 8

EP - 16

JO - GEFASSCHIRURGIE

JF - GEFASSCHIRURGIE

SN - 0948-7034

IS - Suppl 1

ER -