关键词: guideline head and neck cancer new cancer center proposal radiation therapy utilization

Mesh : Humans Radiation Oncology Head and Neck Neoplasms / radiotherapy Oncologists Radiation Oncologists Surveys and Questionnaires

来  源:   DOI:10.1111/ajco.13963

Abstract:
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.
摘要:
背景:建立新的头颈癌(HNC)治疗中心需要多学科团队管理和专业知识。据我们所知,对于在新的癌症中心开始HNC放射治疗(RT),文献中没有明确的建议或指南.我们提出了一个新的框架,概述了建立新的放射疗法HNC治疗所需的必要组件。
方法:我们回顾了在我们的癌症护理中心开始HNC放射治疗的基础设施和方法,经验丰富的大都会头颈部放射肿瘤学家,以制定新的共识指南,该指南可能被新的RT中心用于治疗HNC。使用调查问卷向我们的内部和外部员工专家提出了建议,调查问卷的评级用于根据美国临床肿瘤学会指南方法手册使用预定义的阈值确定共识。
结论:这项共识建议旨在提高RT利用率,同时通过提出一个新的放射治疗中心框架来倡导最佳的患者预后,以准备加强和管理头颈部癌症患者的治疗。我们提出了这些由外部HNC放射肿瘤学家认可的循证共识指南。
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