当代癌症计划实践简介报告 胃癌的合规率:国家癌症数据库分析分析
Ashley Russo1, Joshua Tseng1, Timothy DiPeri1
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
The American surgeon
|June 6, 2023
概括
胃癌 (GC) 质量测量合规性,特别是检查15个区域淋巴结 (G15RLN),从2004年到2017年显著改善. 满足这种质量指标与GC患者的更好的整体存活率 (OS) 有关.
科学领域:
- 在瘤学瘤学.
- 改善外科手术的质量
- 癌症登记分析 癌症登记分析
背景情况:
- 癌症委员会 (CoC) 制定了癌症护理报告的质量措施.
- 国家癌症数据库 (NCDB) 追踪这些措施的遵守.
- 胃癌的一个关键质量指标是在手术期间检查至少15个区域淋巴结 (G15RLN).
研究的目的:
- 根据GC质量指标评估国家趋势.
- 评估G15RLN遵守和整体存活率 (OS) 之间的关联.
- 为了比较学术和非学术机构之间的合规率.
主要方法:
- 分析2004-2017年NCDB的I-III阶段GC患者的情况.
- 随着时间的推移,G15RLN合规度的国家趋势的比较.
- 多变量后勤回归以确定与合规相关的因素;操作系统被逐步比较.
主要成果:
- 总体而言,G15RLN的遵守率从2004年的31.4%增加到2017年的64.5%.
- 学术机构和大批量中心的合规率更高.
- 遵守G15RLN与所有阶段的中位 OS 改善有关.
结论:
- 胃癌质量衡量标准的遵守情况显著改善.
- 遵守G15RLN指标会对患者的存活率产生积极影响.
- 需要继续努力,以提高所有医疗保健机构的合规性.
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