Radiotherapy Department, Catholic University of Sacred Heart, Largo Gemelli 8, Rome, Italy.
Eur J Surg Oncol. 2013 Sep;39(9):938-44. doi: 10.1016/j.ejso.2013.06.011. Epub 2013 Jul 5.
The past two decades have brought tremendous changes to the practice of radiation oncology and medical oncology. To manage all the complexities related to the new technologies and the new drugs, the radiation and medical oncologists have to enhance their clinical action and professional skill profile. To accomplish this they have to find reliable tools in the quality of their medical practice and in future research activities. Quality assurance (QA) and quality control (QC) for radiation and medical oncologists mean to clarify the different components of the clinical decision, to supervise with proper methodology the required steps needed to accomplish the agreed outcomes and to control them. Quality for radiation and medical oncology means to supervise each clinical and technical component of the whole process to guarantee that all steps together will arrive at the final and best possible outcome. Key components are guidelines, specialization and a multidisciplinary approach. The research of global quality could represent a further complexity, but it is the best tool to give a perspective and a chance to further improvements of our disciplines and to promote better outcome in all cancer patients.
过去二十年给放射肿瘤学和肿瘤内科的实践带来了巨大的变化。为了应对与新技术和新药物相关的所有复杂性，放射肿瘤学家和肿瘤内科医生必须提高他们的临床行动和专业技能水平。为了实现这一目标，他们必须在医疗实践和未来的研究活动中找到可靠的工具。放射肿瘤学和肿瘤内科医生的质量保证（QA）和质量控制（QC）意味着要明确临床决策的不同组成部分，用适当的方法监督完成既定结果所需的必要步骤，并对其进行控制。放射肿瘤学和肿瘤内科的质量意味着监督整个过程的每个临床和技术组成部分，以确保所有步骤共同达到最终和最佳的结果。关键组成部分是指南、专业化和多学科方法。全球质量研究可能代表着进一步的复杂性，但它是为我们的学科提供视角和机会，以进一步改进，并促进所有癌症患者获得更好结果的最佳工具。
