确定脑转移患者跨学科治疗的质量:修改后的德尔菲小组建议。

IF 41.6 1区 医学 Q1 ONCOLOGY Lancet Oncology Pub Date : 2024-09-01 DOI:10.1016/S1470-2045(24)00198-0
Camilo E Fadul, Jason P Sheehan, Julio Silvestre, Gloribel Bonilla, Joseph A Bovi, Manmeet Ahluwalia, Riccardo Soffietti, David Hui, Roger T Anderson
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引用次数: 0

摘要

跨学科团队在改善脑转移患者预后和护理质量方面的价值仍不确定,部分原因是对评估跨专业护理的关键指标缺乏共识。我们旨在就评估脑转移治疗质量和价值的指标达成跨学科专家共识。由关键意见领袖组成的指导委员会从文献综述和利益相关者需求评估中整理出相关的结果和过程指标,并由国际医生小组采用改良德尔菲法对结果和过程指标进行评分。经过三轮评定,最终就 29 项指标达成共识,这些指标包括脑定向肿瘤治疗、手术、全脑放疗、立体定向放射手术、支持性或姑息治疗以及跨学科团队护理。脑转移瘤护理质量衡量标准根据治疗方式反映了脑转移瘤团队护理的价值和质量,并为这一研究不足的患者群体提供了护理基准。这套指标的采用、实施和可持续性有助于满足癌症患者、护理人员和临床医生的需求,即在住院、门诊、家庭、社区和三级学术环境中提供更加协调的护理。
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Defining the quality of interdisciplinary care for patients with brain metastases: modified Delphi panel recommendations.

The value of interdisciplinary teams in improving outcomes and quality of care of patients with brain metastases remains uncertain, partly due to the lack of consensus on key indicators to evaluate interprofessional care. We aimed to obtain expert consensus across disciplines on indicators that evaluate the quality and value of brain metastases care. A steering committee of key opinion leaders curated relevant outcomes and process indicators from a literature review and a stakeholder needs assessment, and an international panel of physicians rated the outcomes and process indicators using a modified Delphi method. After three rounds, a consensus was reached on 29 indicators encompassing brain-directed oncological treatment, surgery, whole-brain radiotherapy, stereotactic radiosurgery, supportive or palliative care, and interdisciplinary team care. The Brain Metastases Quality-of-Care measure reflects the value and quality of brain metastases team-based care according to treatment modality and provides a benchmark of care for this under-studied patient population. The adoption, implementation, and sustainability of this set of indicators could help address the need expressed by patients with cancer, caregivers, and clinicians for more coordinated care across inpatient, outpatient, home, community, and tertiary academic settings.

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来源期刊
Lancet Oncology
Lancet Oncology 医学-肿瘤学
CiteScore
62.10
自引率
1.00%
发文量
913
审稿时长
3-8 weeks
期刊介绍: The Lancet Oncology is a trusted international journal that addresses various topics in clinical practice, health policy, and global oncology. It covers a wide range of cancer types, including breast, endocrine system, gastrointestinal, genitourinary, gynaecological, haematological, head and neck, neurooncology, paediatric, thoracic, sarcoma, and skin cancers. Additionally, it includes articles on epidemiology, cancer prevention and control, supportive care, imaging, and health-care systems. The journal has an Impact Factor of 51.1, making it the leading clinical oncology research journal worldwide. It publishes different types of articles, such as Articles, Reviews, Policy Reviews, Personal Views, Clinical Pictures, Comments, Correspondence, News, and Perspectives. The Lancet Oncology also collaborates with societies, governments, NGOs, and academic centers to publish Series and Commissions that aim to drive positive changes in clinical practice and health policy in areas of global oncology that require attention.
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