The phrase "altered management of" is correct and usable in written English.
It can be used when discussing changes or modifications to the way management is conducted or organized.
Example: "The company has implemented altered management of its resources to improve efficiency and reduce costs."
Alternatives: "modified management of" or "revised management of".
Determining the exact cause is usually not needed as it does not alter management of the condition.
These novel findings have thus the potential to significantly refine diagnosis and possibly alter management of these cancer patients.
However while a positive lymph node finding may alter management of the condition it does not improve overall survival of the patient[ 2].
For the first time, ruptured plaque or plaque at high risk of rupture can be identified noninvasively which as the authors postulate, carries the potential to alter management of stable and unstable coronary artery disease.
In a pooled analysis of the prospective BRITS and DESTINY studies, biopsy results altered management in 14.2% of cases but the clinical impact is unknown [ 2].
Ramdave et al. [ 44] found that PET altered management in 35% of cases at diagnosis mainly on the basis of identifying metastatic disease.
Conclusions: This prospective study demonstrates the presence of substantial discordance in receptor status between primary tumor and metastases, which led to altered management in 20% of cases.
In a recent study by Corvera et al. [9], FDG-PET (without CT) altered management in 20 % (25/126) of patients with biliary cancer, including 23%% (7/31) of patients with gallbladder carcinoma.
Based on their research and experience, they write: "The very innovations and changes Boeing introduced to remain a leading producer of airplanes — altered management strategies, pervasive technological changes, extensive outsourcing, broad global partnerships, massive layoffs, and drastically altered ways of working — produced stress and turbulence in the lives of workers and managers alike".
