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通过国家质量论坛质量指标,在一家由癌症委员会认证的社区教学医院提高结直肠癌护理的一致性。

Improving uniformity of care for colorectal cancers through National Quality Forum quality indicators at a Commission on Cancer-accredited community based teaching hospital.

作者信息

Pappas Dean P, Garbus Jules E, Feuerman Martin, Reed William P

机构信息

State University of New York at Stony Brook, NY 11794-8191, USA.

出版信息

Surg Oncol Clin N Am. 2011 Jul;20(3):587-96, x. doi: 10.1016/j.soc.2011.01.013.

Abstract

The National Cancer Data Base (NCDB) provides feedback on adherence to National Quality Forum (NQF)-endorsed measures to promote best outcomes in colorectal cancer. We examined the care delivered to patients with colorectal cancer at our institution and developed a protocol to enhance nodal retrieval and to ensure that patients with fewer than 12 nodes are considered for adjuvant chemotherapy. Few patients met the NQF criteria for adjuvant radiation. A protocol was developed to address this issue, and this provides a model for use in a multidisciplinary effort to improve adherence to measures associated with best outcomes in colorectal cancer.

摘要

国家癌症数据库(NCDB)提供关于遵循国家质量论坛(NQF)认可的措施以促进结直肠癌最佳治疗效果的反馈。我们检查了在我们机构为结直肠癌患者提供的护理,并制定了一项方案,以加强淋巴结清扫,并确保对淋巴结少于12个的患者考虑进行辅助化疗。很少有患者符合NQF辅助放疗标准。我们制定了一项方案来解决这个问题,这为多学科努力改善遵循与结直肠癌最佳治疗效果相关措施的情况提供了一个范例。

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