Cancer Support Services, The Ohio State University Comprehensive Cancer Center-The James Cancer Hospital, Columbus, OH, USA.
College of Nursing, The Ohio State University, Columbus, OH, USA.
J Cancer Surviv. 2019 Dec;13(6):890-898. doi: 10.1007/s11764-019-00804-7. Epub 2019 Aug 31.
A quality review process was implemented to determine compliance with the requirement from the Commission on Cancer to use the American Society of Clinical Oncology (ASCO) template as the minimum data set for Treatment Summary and Survivorship Care Plans (TS/SCP) provided to cancer survivors.
TS/SCPs generated during 2017 (N = 1257) were audited for concordance with each of the 66 TS/SCP line items on ASCO's template. Descriptive statistics and chi-square statistics were used to examine line item concordance, overall and by services groups (survivorship vs. other oncology service). Mixed-effects logistic regression was used to estimate the effects of service delivery group on the concordance.
Institutional compliance with the ASCO template was very high; 76% of the 66 line items were present in at least 75% of the delivered TS/SCPs. There was a significantly higher rate of concordance for TS/SCPs provided by the survivorship service (83% vs. 66%, P = 0.006). TS/SCPs provided by the survivorship service were nearly twice as likely to be concordant with ASCO template (OR = 1.88, 95% CI = 1.77-2.00) compared to those by other service groups.
Use of the electronic medical record to auto-populate information was instrumental in achieving a high rate of concordance. Institutions should consider providing training to improve or maintain quality of these documents.
Ensuring that the information contained on the TS/SCP is consistently present is necessary for a high-quality survivorship visit between the clinician, PCP, and survivor and as a record of care for future health care encounters.
实施质量审查流程，以确定是否符合癌症委员会的要求，即使用美国临床肿瘤学会 (ASCO) 模板作为提供给癌症幸存者的治疗总结和生存护理计划 (TS/SCP) 的最小数据集。
对 2017 年生成的 TS/SCP（N=1257）进行审核，以检查其与 ASCO 模板的 66 个 TS/SCP 项目中的每一个的一致性。使用描述性统计和卡方检验来检查项目一致性，以及按服务组（生存组与其他肿瘤服务组）进行的一致性。采用混合效应逻辑回归来估计服务提供组对一致性的影响。
机构对 ASCO 模板的遵从度非常高；66 个项目中有 76%至少出现在 75%的交付 TS/SCP 中。生存服务提供的 TS/SCP 一致性率明显更高（83%与 66%，P=0.006）。与其他服务组相比，生存服务提供的 TS/SCP 更有可能与 ASCO 模板一致（OR=1.88，95%CI=1.77-2.00）。
使用电子病历自动填充信息是实现高一致性率的重要手段。各机构应考虑提供培训，以提高或保持这些文件的质量。
确保 TS/SCP 中包含的信息始终存在，对于临床医生、初级保健医生和幸存者之间的高质量生存随访以及作为未来医疗保健接触记录的护理记录都是必要的。
