在基于价值的环境中建立放射治疗创新的评估框架:基于价值的ESTRO辐射瘤学分类系统
M Vandemaele1, P Blanchard2, J M Borràs3
1Radiation Oncology Department, Ghent University Hospital and Ghent University, Ghent, Belgium.
概括
为改善临床实施和监管决策,开发了放射治疗创新的新分类系统. 该系统旨在支持高价值癌症护理的基于价值的评估框架.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前的放射治疗创新评估缺乏一致性,阻碍了临床实施和获得高价值护理.
- 欧洲放射治疗和瘤学会 (ESTRO) 发起了基于价值的放射瘤学 (VBRO) 项目,以解决这一差距.
研究的目的:
- 开发放射治疗创新的分类系统,作为向基于价值的评估框架迈出的基本步骤.
- 支持放射治疗创新的临床实施和监管决策.
主要方法:
- 一个四阶段的混合方法开发过程,整合了定性和定量数据.
- 在整个修订,改进和验证阶段,从欧洲放射瘤学界的多学科利益相关者参与.
主要成果:
- 定义了四种不同的放射治疗干预类别:以药物为中心,以辐射为中心,使辐射成为可能和操作辐射干预.
- 开发了一个决策算法和决策树,以帮助根据目标,技术和放射治疗特征对创新进行分类.
- 分类系统和算法通过定性和定量方法进行了验证,包括文献计量分析和指导委员会审查.
结论:
- 精确对放射治疗创新的分类对于优化研究设计,证据生成和量身定制的评估至关重要.
- 开发的系统为ESTRO-VBRO项目中的基于价值的评估框架提供了基础,以指导实施和监管.
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