子宫内膜癌、宫颈癌和卵巢癌管理的质量指标。

Quality indicators for the management of endometrial, cervical and ovarian cancer.

机构信息

Multidisciplinary Oncologic Centre Antwerp (MOCA), Antwerp University Hospital, Edegem, B2650, Belgium; Centre for Oncological Research (CORE), University of Antwerp, Wilrijk, B2610, Belgium.

出版信息

Eur J Surg Oncol. 2019 Apr;45(4):528-537. doi: 10.1016/j.ejso.2018.10.051. Epub 2018 Oct 12.

DOI:10.1016/j.ejso.2018.10.051

PMID:30337202

Abstract

OBJECTIVE

Measuring quality indicators improves the quality of care. The aim of this review is to identify a set of quality indicators (QIs) that can be used to measure the standard of treatment for patients with endometrial, cervical and ovarian cancer.

METHODS

A systematic literature search was performed in the Pubmed and Google Scholar database. Articles related to the field of interest, which covered QIs for the management of endometrial, cervical and ovarian cancer, were included if they were written in English and available in full text. Articles related to prevention, screening, diagnosis, quality of life and patient satisfaction were excluded.

RESULTS

A total of 57 suitable articles was found: 13 for endometrial cancer, 17 for cervical cancer and 27 for ovarian cancer. An overview of the selected QIs was made and classified by type of indicator. Relevant QIs related to the structural organisation of health care are: referral to high volume specialists in high volume hospitals, treatment by specialized gynecological oncologists and discussion of treatment plan by a multidisciplinary team according to current guidelines. Important process measures are: a patient report of high quality, an adequate pretreatment staging and an adherence to treatment guidelines. The ultimate goal is to reduce treatment related morbidity and increase the survival rate, which can be measured as outcome indicators.

CONCLUSION

The proposed set of QIs should be validated and can be implemented into quality assurance programmes to improve the quality of care and the outcome of patients with a gynecological cancer.

摘要

目的

衡量质量指标可提高医疗质量。本研究旨在确定一套质量指标（QIs），用于衡量子宫内膜癌、宫颈癌和卵巢癌患者的治疗标准。

方法

在 Pubmed 和 Google Scholar 数据库中进行系统文献检索。纳入标准为：与本研究领域相关、采用英文并提供全文的评估子宫内膜癌、宫颈癌和卵巢癌管理的 QIs 相关文章；排除标准为：与预防、筛查、诊断、生活质量和患者满意度相关的文章。

结果

共发现 57 篇合适的文章：13 篇关于子宫内膜癌，17 篇关于宫颈癌，27 篇关于卵巢癌。对所选 QIs 进行了概述，并按指标类型进行了分类。与医疗保健结构组织相关的 QIs 包括：转诊至大医院的高容量专家、由专业妇科肿瘤学家进行治疗以及根据当前指南由多学科团队讨论治疗方案。重要的流程措施包括：患者报告高质量、充分的预处理分期以及遵循治疗指南。最终目标是降低治疗相关发病率并提高生存率，这可以作为结局指标进行衡量。