Illawarra Cancer Care Centre, Wollongong Hospital, Wollongong, Australia.
Central Coast Cancer Centre, Gosford Hospital, Gosford, Australia.
Asia Pac J Clin Oncol. 2024 Apr;20(2):168-179. doi: 10.1111/ajco.13963. Epub 2023 Apr 26.
Establishing a new head and neck cancer (HNC) treatment center requires multidisciplinary team management and expertise. To our knowledge, there are no clear recommendations or guidelines in the literature for the commencement of HNC radiation therapy (RT) at a new cancer center. We propose a novel framework outlining the necessary components required to set-up a new radiation therapy HNC treatment.
We reviewed the infrastructure and methodology in the commencement of HNC radiation therapy in our cancer care center and invited several external, experienced metropolitan head and neck radiation oncologists to develop a novel consensus guideline that may be used by new RT centers to treat HNC. Recommendations were presented to our internal and external staff specialists using a survey questionnaire with ratings utilized to determine consensus using pre-defined thresholds as per the American Society of Clinical Oncology Guidelines Methodology Manual.
This consensus recommendation aims to improve RT utilization whilst advocating for optimal patient outcomes by presenting a framework for new radiation therapy centers ready to step up and manage the treatment of head and neck cancer patients. We propose these evidence-based consensus guidelines endorsed by external HNC radiation oncologists.
建立新的头颈部癌症（HNC）治疗中心需要多学科团队管理和专业知识。据我们所知，文献中没有关于在新的癌症中心开始头颈部癌症放射治疗（RT）的明确建议或指南。我们提出了一个新的框架，概述了建立新的放射治疗 HNC 治疗所需的必要组成部分。
我们回顾了我们癌症治疗中心开始头颈部癌症放射治疗的基础设施和方法，并邀请了几位外部经验丰富的都市头颈部放射肿瘤学家制定了一项新的共识指南，可为新的 RT 中心治疗 HNC 提供使用。使用问卷调查表向我们的内部和外部专家人员提出建议，并使用预先定义的阈值进行评分，以根据美国临床肿瘤学会指南方法手册确定共识。
本共识建议旨在通过为准备介入并管理头颈部癌症患者治疗的新放射治疗中心提供框架，提高 RT 的利用率，同时倡导最佳的患者结果。我们提出了这些经过外部头颈部放射肿瘤学家认可的循证共识指南。
