姑息性放射肿瘤学质量指标：制定与试点测试
Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing.
作者信息
Saito Tetsuo, Shikama Naoto, Takahashi Takeo, Miwa Misako, Miyazawa Kazunari, Wada Hitoshi, Nakamura Naoki, Yorozu Atsunori, Nagakura Hisayasu, Miyashita Mitsunori
机构信息
Department of Radiation Oncology, Arao Municipal Hospital, Kumamoto, Japan.
Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
出版信息
Adv Radiat Oncol. 2021 Nov 20;7(2):100856. doi: 10.1016/j.adro.2021.100856. eCollection 2022 Mar-Apr.
PURPOSE
A quality indicator (QI) is a valuable tool to evaluate the quality of health care systems. In palliative radiation oncology, only a few related QIs have been developed to date. In this study, we sought to develop and pilot test QIs that assess the quality of care in palliative radiation therapy.
METHODS AND MATERIALS
A modified Delphi method was used to establish consensus with an expert panel. The panel consisted of 8 radiation oncologists who have expertise in palliative radiation oncology and 1 expert on Delphi methodology. Online panel meetings and e-mail surveys were conducted to develop QIs on palliative radiation therapy for bone and brain metastases. Feasibility of measurement was assessed though pilot surveys that were conducted by radiation oncologists at 5 facilities.
RESULTS
After 3 online meetings and 2 e-mail surveys, we developed 4 QIs on bone metastases and 3 QIs on brain metastases. Two email surveys and 2 pilot surveys confirmed the validity of QIs and the feasibility of measurement, respectively.
CONCLUSIONS
We developed valid and feasible QIs on palliative radiation therapy for bone and brain metastases. Our work may contribute to reduce the evidence-practice gaps in palliative radiation oncology.
目的
质量指标（QI）是评估医疗保健系统质量的宝贵工具。在姑息性放射肿瘤学领域，迄今为止仅开发了少数相关的质量指标。在本研究中，我们试图开发并试点测试用于评估姑息性放射治疗护理质量的质量指标。
方法和材料
采用改良的德尔菲法与一个专家小组达成共识。该小组由8名在姑息性放射肿瘤学方面具有专业知识的放射肿瘤学家和1名德尔菲方法专家组成。通过在线小组会议和电子邮件调查来制定针对骨转移和脑转移的姑息性放射治疗的质量指标。通过5家机构的放射肿瘤学家进行的试点调查评估了测量的可行性。
结果
经过3次在线会议和2次电子邮件调查，我们制定了4项针对骨转移的质量指标和3项针对脑转移的质量指标。两次电子邮件调查和两次试点调查分别证实了质量指标的有效性和测量的可行性。
结论
我们开发了针对骨转移和脑转移的姑息性放射治疗的有效且可行的质量指标。我们的工作可能有助于缩小姑息性放射肿瘤学中证据与实践之间的差距。
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