评估医生审计和反干预措施,以增加多站点三级癌症中心辐射瘤学临床试验的入学率:一项随机研究
Nicholas P Verdini1, Daphna Y Gelblum1, Emily A Vertosick2
1Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
International journal of radiation oncology, biology, physics
|September 28, 2023
概括
医生审计和反报告没有显著改善癌症临床试验招生. 策略应避免阻止高招生者,可能需要结合多种方法以获得更好的结果.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 低临床试验参与度阻碍了新的癌症治疗方法的开发.
- 解决招生障碍的前性策略很少被测试.
- 医生审计和反是潜在的质量改进方法.
研究的目的:
- 调查医生审计和反报告在改善临床试验招生率方面的有效性.
- 评估对比性绩效数据对医生试验招聘的影响.
主要方法:
- 在多站点癌症网络的放射瘤学家中进行了一项随机质量改善研究.
- 干预组的医生每季度会收到审计和反报告,比较他们的入学率与同行.
- 衡量的主要终点是参加临床试验的患者比例.
主要成果:
- 在反组 (3.2%至6.1%) 和对照组 (1.6%至4.1%) 中,入学比例的中位数增加.
- 与收到反报告相关的招生没有显著变化 (-0.6%的差异;P = .6).
- 相互作用效应 (P = .005) 表明反组中高收益医生的入学率下降.
结论:
- 医生审计和反本身并没有证明对临床试验招生产生积极影响.
- 未来的干预措施应该考虑的策略,不会阻碍高绩效的医生.
- 将反与其他患者或医生级策略配对可能更有效.
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