Hutter R V, Henson D E
Int J Radiat Oncol Biol Phys. 1984 Jun;10 Suppl 1:45-7. doi: 10.1016/0360-3016(84)90446-2.
The Committee on the Pathologist as a Consultant in Cancer Patient Management, a committee of the Cancer Committee of the College of American Pathologists, was formed in response to the demands made on pathologists by other medical specialists to function as consultants. The Committee on the Pathologist as a Consultant in Cancer Patient Management has evolved from the Patterns of Care Steering Committee (1979) which in turn was spawned by the Patterns of Care Study initiated by The American College of Radiology (ACR) in 1973. The objective of the ACR was to improve the quality of care by establishing guidelines for the best current management in radiation oncology through a consensus by peers. Pathology is concerned with establishing a diagnosis, providing a rationale for treatment, estimating prognosis, and evaluating outcome. Consequently, the CAP Patterns of Care Study assumed a different form from that of the ACR, adapting itself to the role of the pathologist as a consultant. Its objective, however, remained the same - to improve the quality of care by providing quality assurance of pathology reports dealing with cancer patients. Three task forces, one for each site, have been established. Each is composed of pathologists and other medical specialists from small and large community hospitals, universities, and private office practice. The primary function of each task force is to develop guidelines for data to be included in routine pathology consultation reports. These guidelines include parameters that document adequate examination of the specimen, and those essential elements which can be used to guide selection of therapy, estimate prognosis, and evaluate outcome, such as the pathologic factors required for staging. Data to help establish these guidelines have been obtained in consultation with medical specialists who are members of the task forces, as well as from the medical literature. This entire process will be discussed. Currently there is great concern about improving the quality of medical care, particularly in a cost effective manner. Assuring the quality of consultation reports is yet another way in which pathology can contribute.
作为癌症患者管理顾问的病理学家委员会是美国病理学家学会癌症委员会的一个下属委员会，它是应其他医学专家要求病理学家担任顾问的需求而成立的。作为癌症患者管理顾问的病理学家委员会是从护理模式指导委员会（1979年）发展而来的，而该委员会又是由美国放射学会（ACR）1973年发起的护理模式研究催生的。ACR的目标是通过同行共识制定放射肿瘤学当前最佳管理指南，以提高护理质量。病理学关注的是确立诊断、提供治疗依据、评估预后和评价治疗结果。因此，美国病理学家学会的护理模式研究采取了与ACR不同的形式，以适应病理学家作为顾问的角色。然而，其目标仍然是相同的——通过确保处理癌症患者的病理报告的质量来提高护理质量。已经成立了三个特别工作组，每个部位一个。每个工作组由来自大小社区医院、大学和私人诊所的病理学家和其他医学专家组成。每个特别工作组的主要职能是制定常规病理会诊报告中应包含的数据指南。这些指南包括记录标本充分检查的参数，以及可用于指导治疗选择、评估预后和评价治疗结果的基本要素，如分期所需的病理因素。为帮助制定这些指南的数据是通过与特别工作组成员中的医学专家协商以及从医学文献中获得的。整个过程将进行讨论。目前，人们非常关注提高医疗护理质量，特别是以具有成本效益的方式。确保会诊报告的质量是病理学可以做出贡献的另一种方式。
