在放射性瘤学中实施全面的临床质量保证系统
Anja Alessandra Joye1, Matea Zosso-Pavic1, Jeannifer Beckmann1
1Department of Radiation Oncology, University Hospital Zurich, Rämistrasse 100, Zürich, 8091, Switzerland.
苏黎世放射瘤学临床质量保证系统 (ZH-CLASSIC) 能够对癌症患者进行持续的质量监测. 该系统在接受SBRT的前列腺癌患者中证明了可信的瘤结果,与现有文献保持一致.
科学领域:
- 辐射瘤学 辐射瘤学
- 临床质量保证 临床质量保证
- 癌症治疗监测 癌症治疗监测
背景情况:
- 开发一个全面的临床质量保证系统对于优化放射瘤实践至关重要.
- 持续监测患者的结果和治疗坚持是改善癌症护理的必要条件.
研究的目的:
- 开发和评估辐射瘤学的综合临床质量保证系统.
- 为了评估系统的性能,使用前列腺癌的绝对辐射疗法作为一个用例.
主要方法:
- 为了持续的质量保证,采用了苏黎世放射瘤学临床质量保证系统 (ZH-CLASSIC).
- 来自医院信息系统和放射瘤学记录的数据使用独特的患者ID进行了汇总.
- 十个患者护理途径用于数据分析,涵盖治疗指示,程序和后续方案.
主要成果:
- 自2021年5月以来,ZH-CLASSIC治疗了4,515名患者,医生报告的遵守率从54%增加到92%.
- 随访包括临床内诊 (51%),远程医疗 (10%) 和外部查询 (43%).
- 在209名接受SBRT治疗的前列腺癌患者中,208人在15个月的中位数随访后仍然活着,严重毒性率低.
结论:
- 该ZH-CLASSIC系统促进自动化和结构化的文档和分析辐射瘤学的质量.
- 在启动阶段,专注的员工是必不可少的,随着时间的推移,预计资源需求将会减少.
- 该系统对前列腺癌SBRT的分析产生了与文献数据一致的可信结果.
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