Deviations from the guidelines were described.
Poor compliance (over 10percentt deviations from the guidelines) occurred in 20percentt of all NCCN cancer centers.
Deviations from the guidelines must be justified by the attending surgeon and/or critical care physician.
Guidelines are seen as a useful reference, but deviations from the guidelines were justified by relying on their own, or on the nurse's, clinical judgement and expertise.
These deviations from the guidelines resulted in a low level of agreement for both modalities and all observers compared with the treatment based on the multidisciplinary team evaluation.
This results in strong deviations from the guidelines provided by the manual, and the risk of improper decision-making in pediatric rehabilitation increases.
However, there were marked regional differences and important deviations from the guidelines, as two-thirds of treated patients were without significant fibrosis.
Compliance with guidelines was stated as follows: treatment was classified as appropriate (guidelines+) if the interventions undertaken were in agreement with the guidelines in operation at the time of treatment, whereas deviations from the guidelines were classified as inappropriate (guidelines−).
These deviations from the guidelines will be studied precisely in coming months to understand the reasons and possibly adjust the recommendations to clinical situations not envisaged in the current recommendations.
Firstly, there were some deviations from the guidelines for cohorts 2 4, as a small proportion of the displaced fractures had been treated with IF, thus introducing a small selection bias.
