欧洲癌症研究与治疗组织-妇科肿瘤学组卵巢癌手术的过程质量指标
EORTC-GCG process quality indicators for ovarian cancer surgery.
作者信息
Verleye L, Ottevanger P B, van der Graaf W, Reed N S, Vergote I
机构信息
EORTC Headquarters, EORTC-GCG, Avenue E. Mounierlaan 83/11, B-1200 Brussels, Belgium.
出版信息
Eur J Cancer. 2009 Mar;45(4):517-26. doi: 10.1016/j.ejca.2008.09.031. Epub 2008 Nov 14.
INTRODUCTION
Surgery is the mainstay of staging and treatment of ovarian cancer. Optimal quality of ovarian cancer surgery implies complete staging and removal of all macroscopic tumour with minimal harm to the patient in order to ensure best patient outcome. However, variation in the quality of ovarian cancer surgery is apparent. In order to assess and improve the quality of care, quality indicators can be used.
METHODS
To identify candidate quality indicators, a literature search was performed using relevant MESH terms. These were assessed for validity, feasibility and measurability.
RESULTS
Five quality indicators for staging of presumed early-stage ovarian cancer and six for primary debulking surgery for advanced disease are proposed.
CONCLUSION
The defined quality indicators can be used to monitor and improve the quality of surgery for ovarian cancer.
引言
手术是卵巢癌分期和治疗的主要手段。卵巢癌手术的最佳质量意味着进行全面分期并切除所有肉眼可见的肿瘤，同时对患者造成最小的伤害，以确保患者获得最佳预后。然而，卵巢癌手术质量的差异是显而易见的。为了评估和提高护理质量，可以使用质量指标。
方法
为了确定候选质量指标，使用相关医学主题词进行了文献检索。对这些指标进行了有效性、可行性和可测量性评估。
结果
提出了五个用于假定早期卵巢癌分期的质量指标和六个用于晚期疾病初次肿瘤细胞减灭术的质量指标。
结论
所定义的质量指标可用于监测和提高卵巢癌手术的质量。
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