Hermanek P
Chirurgische Klinik und Poliklinik, Universität Erlangen-Nürnberg.
Z Arztl Fortbild Qualitatssich. 1997 Jun;91(3):289-92.
In a relevant quality management, the long-term prognosis as the definite criterion has to be the focus of interest for the assessment of outcome quality (2). Only with the knowledge of the long-term course by the means of the total survival, the adjusted cancer-related and tumor-free survival it can be assessed, how much a hospital accomplishes in the treatment of cancer. However, not only the treatment is of importance for the outcome, but also a multitude of different parameters mainly regarding the tumor itself but also concerning the patient have to be considered in the assessment of the results. Treatment outcomes can only be compared with the knowledge of these prognostic factors and this is the importance of prognostic factors for quality management.
在相关的质量管理中,作为明确标准的长期预后必须成为评估结果质量的关注焦点(2)。只有通过总生存期、调整后的癌症相关生存期和无瘤生存期了解长期病程,才能评估一家医院在癌症治疗方面取得了多大成效。然而,对于结果而言,不仅治疗很重要,而且在评估结果时还必须考虑许多不同的参数,这些参数主要涉及肿瘤本身,也涉及患者。只有了解这些预后因素,才能比较治疗结果,这就是预后因素对质量管理的重要性所在。