For a full list of the authors affiliations see the Acknowledgements section.
Eur Respir J. 2014 May;43(5):1254-77. doi: 10.1183/09031936.00106913. Epub 2014 Mar 23.
Lung cancer is the commonest cause of cancer-related death worldwide and poses a significant respiratory disease burden. Little is known about the provision of lung cancer care across Europe. The overall aim of the Task Force was to investigate current practice in lung cancer care across Europe. The Task Force undertook four projects: 1) a narrative literature search on quality management of lung cancer; 2) a survey of national and local infrastructure for lung cancer care in Europe; 3) a benchmarking project on the quality of (inter)national lung cancer guidelines in Europe; and 4) a feasibility study of prospective data collection in a pan-European setting. There is little peer-reviewed literature on quality management in lung cancer care. The survey revealed important differences in the infrastructure of lung cancer care in Europe. The European guidelines that were assessed displayed wide variation in content and scope, as well as methodological quality but at the same time there was relevant duplication. The feasibility study demonstrated that it is, in principle, feasible to collect prospective demographic and clinical data on patients with lung cancer. Legal obligations vary among countries. The European Initiative for Quality Management in Lung Cancer Care has provided the first comprehensive snapshot of lung cancer care in Europe.
肺癌是全球癌症相关死亡的最常见原因,也是呼吸系统疾病的主要负担。但目前对欧洲的肺癌护理服务提供情况知之甚少。该工作组的总体目标是调查欧洲各地肺癌护理的现状。工作组开展了四个项目:1)对肺癌质量管理的文献进行叙述性检索;2)对欧洲肺癌护理的国家和地方基础设施进行调查;3)对欧洲(国际)肺癌指南质量进行基准测试;4)在泛欧环境中进行前瞻性数据收集的可行性研究。关于肺癌护理质量管理,几乎没有经过同行评审的文献。该调查揭示了欧洲肺癌护理基础设施方面的重要差异。所评估的欧洲指南在内容和范围以及方法学质量方面存在很大差异,但同时也存在相关的重复。可行性研究表明,原则上可以收集肺癌患者前瞻性的人口统计学和临床数据。各国的法律义务各不相同。欧洲肺癌质量管理倡议提供了欧洲肺癌护理的第一份全面概况。