儿科肿瘤中心的质量标准:一项系统性文献综述研究。
Quality criteria for pediatric oncology centers: A systematic literature review.
发表日期:2023 Aug 16
作者:
Sarah P Schladerer, Maria Otth, Katrin Scheinemann
来源:
Stem Cell Research & Therapy
摘要:
由于更好的诊断、治疗和支持护理,被诊断为癌症的儿童和青少年的生存率在过去几十年有所提高。衡量、比较和使个体儿科肿瘤中心的护理质量更透明的质量标准是异质和不一致的。本系统回顾的目的是总结高度发达医疗体系国家中儿科肿瘤中心的现有质量标准。我们在2022年2月在三个数据库中搜索了有关儿科肿瘤中心质量标准的出版物,以及网站上的指南。我们考虑了所有类型的出版物,但排除了专家意见。我们排除了不关注高度发达医疗体系、涉及专业人员认证或专注于亚专业(例如,儿童神经肿瘤学)的出版物。如果标准过于具体(例如,针对特定治疗中心),过于宽泛(例如,全国5年总体生存率)或该方面已被标准化临床程序或在国家级别上涵盖,则我们丢弃了质量标准。我们按主题对确定的标准进行了分组。我们找到了18个出版物和指南文件,包含530个标准,其中201个符合纳入标准。将相似标准组合起来得到了90个总体标准,我们为其分配了以下分类:设施和网络、多学科团队和其他专家、支持性护理、治疗、长期护理以及量和数量。我们的结果提供了高度发达医疗体系国家中儿科肿瘤方面现有质量标准的全面概述。这些标准可以作为制定国家儿科肿瘤质量标准的基础。© 2023年该作者。由约翰·威立·爱斯股份有限公司出版的癌症医学。
Survival of children and adolescents diagnosed with cancer improved over the last decades due to better diagnostics, treatment, and supportive care. Quality criteria that measure, compare, and make the quality of care of individual pediatric oncology centers more transparent are heterogeneous and inconsistent.With this systematic review, we aimed to summarize existing quality criteria for pediatric oncology centers in countries with highly developed health-care systems.We searched three databases for publications, and websites for guidelines about quality criteria for pediatric oncology centers in February 2022. We considered all types of publications except expert opinions. We excluded publications not focusing on highly developed health-care systems, addressing the certification of professionals, or focusing on subspecialties (e.g., pediatric neuro-oncology). We discarded quality criteria if they were too specific (e.g., for a specific treatment center), too broad (e.g., national 5-year overall survival), or if the aspect was covered by standardized clinical procedures or at the national level. We grouped the identified criteria thematically.We identified 18 publications and guideline documents with 530 criteria, of which 201 fulfilled the inclusion criteria. The combination of similar criteria resulted in 90 overarching criteria, which we assigned to the following categories: facilities and networks, multidisciplinary team and other experts, supportive care, treatment, long-term care, and volume and numbers.Our results provide a comprehensive overview of existing quality criteria for pediatric oncology in countries with highly developed health-care systems. These criteria can serve as a basis to develop national quality criteria in pediatric oncology.© 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.