Surgical Oncology, Ontario Health (Cancer Care Ontario), and Department of Otolaryngology-Head and Neck Surgery/Surgical Oncology, Princess Margaret Cancer Centre, University of Toronto, Toronto, ON.
Head and Neck Cancers, Ontario Health (Cancer Care Ontario); Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network; and Department of Radiation Oncology, University of Toronto, Toronto, ON.
Curr Oncol. 2020 Apr;27(2):e115-e122. doi: 10.3747/co.27.5873. Epub 2020 May 1.
At the request of the Head and Neck Cancers Advisory Committee of Ontario Health (Cancer Care Ontario), a working group and expert panel of clinicians with expertise in the management of head-and-neck cancer developed the present guideline. The purpose of the guideline is to provide advice about the organization and delivery of health care services for adult patients with head-and-neck cancer.
This document updates the recommendations published in the Ontario Health (Cancer Care Ontario) 2009 organizational guideline . The guideline development methods included an updated literature search, internal review by content and methodology experts, and external review by relevant health care providers and potential users.
To ensure that all patients have access to the highest standard of care available in Ontario, the guideline establishes the minimum requirements to maintain a head-and-neck disease site program. Recommendations are made about the membership of core and extended provider teams, minimum skill sets and experience of practitioners, cancer centre-specific and practitioner-specific volumes, multidisciplinary care requirements, and unique infrastructure demands.
The recommendations contained in this document offer guidance for clinicians and institutions providing care for patients with head-and-neck cancer in Ontario, and for policymakers and other stakeholders involved in the delivery of health care services for head-and-neck cancer.
应安大略省卫生厅（安大略省癌症护理）头颈部癌症咨询委员会的要求，一个由在头颈部癌症管理方面具有专业知识的临床医生工作组和专家小组制定了本指南。本指南的目的是就为成人头颈部癌症患者提供医疗保健服务的组织和提供提供建议。
本文件更新了 2009 年安大略省卫生厅（安大略省癌症护理）组织指南中发布的建议。该指南的制定方法包括对文献进行了更新检索、内容和方法学专家内部审查，以及相关医疗保健提供者和潜在用户的外部审查。
为了确保所有患者都能获得安大略省最高标准的护理，本指南确立了维持头颈部疾病站点计划的最低要求。建议包括核心和扩展提供者团队的成员资格、从业者的最低技能和经验水平、癌症中心特定和从业者特定的量、多学科护理要求以及独特的基础设施需求。
本文件中的建议为在安大略省为头颈部癌症患者提供护理的临床医生和机构以及参与头颈部癌症医疗保健服务提供的政策制定者和其他利益相关者提供了指导。
