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Defining the quality of interdisciplinary care for patients with brain metastases: modified Delphi panel recommendations
The Lancet Oncology ( IF 41.6 ) Pub Date : 2024-08-27 , DOI: 10.1016/s1470-2045(24)00198-0 Camilo E Fadul 1 , Jason P Sheehan 2 , Julio Silvestre 3 , Gloribel Bonilla 4 , Joseph A Bovi 5 , Manmeet Ahluwalia 6 , Riccardo Soffietti 7 , David Hui 8 , Roger T Anderson 9
The Lancet Oncology ( IF 41.6 ) Pub Date : 2024-08-27 , DOI: 10.1016/s1470-2045(24)00198-0 Camilo E Fadul 1 , Jason P Sheehan 2 , Julio Silvestre 3 , Gloribel Bonilla 4 , Joseph A Bovi 5 , Manmeet Ahluwalia 6 , Riccardo Soffietti 7 , David Hui 8 , Roger T Anderson 9
Affiliation
The value of interdisciplinary teams in improving outcomes and quality of care of patients with brain metastases remains uncertain, partly due to the lack of consensus on key indicators to evaluate interprofessional care. We aimed to obtain expert consensus across disciplines on indicators that evaluate the quality and value of brain metastases care. A steering committee of key opinion leaders curated relevant outcomes and process indicators from a literature review and a stakeholder needs assessment, and an international panel of physicians rated the outcomes and process indicators using a modified Delphi method. After three rounds, a consensus was reached on 29 indicators encompassing brain-directed oncological treatment, surgery, whole-brain radiotherapy, stereotactic radiosurgery, supportive or palliative care, and interdisciplinary team care. The Brain Metastases Quality-of-Care measure reflects the value and quality of brain metastases team-based care according to treatment modality and provides a benchmark of care for this under-studied patient population. The adoption, implementation, and sustainability of this set of indicators could help address the need expressed by patients with cancer, caregivers, and clinicians for more coordinated care across inpatient, outpatient, home, community, and tertiary academic settings.
中文翻译:
定义脑转移患者的跨学科护理质量:改良的 Delphi 面板建议
跨学科团队在改善脑转移患者结局和护理质量方面的价值仍不确定,部分原因是对评估跨专业护理的关键指标缺乏共识。我们旨在就评估脑转移治疗质量和价值的指标达成跨学科的专家共识。由关键意见领袖组成的指导委员会从文献综述和利益相关者需求评估中策划了相关结果和过程指标,一个国际医生小组使用改良的 Delphi 方法对结果和过程指标进行了评级。经过三轮研究,对 29 项指标达成共识,包括脑定向肿瘤治疗、手术、全脑放疗、立体定向放射外科、支持或姑息治疗以及跨学科团队护理。脑转移瘤护理质量衡量标准根据治疗方式反映了脑转移瘤团队护理的价值和质量,并为这一研究不足的患者群体提供了护理基准。这组指标的采用、实施和可持续性有助于满足癌症患者、护理人员和临床医生对住院、门诊、家庭、社区和高等教育环境中更协调护理的需求。
更新日期:2024-08-27
中文翻译:
定义脑转移患者的跨学科护理质量:改良的 Delphi 面板建议
跨学科团队在改善脑转移患者结局和护理质量方面的价值仍不确定,部分原因是对评估跨专业护理的关键指标缺乏共识。我们旨在就评估脑转移治疗质量和价值的指标达成跨学科的专家共识。由关键意见领袖组成的指导委员会从文献综述和利益相关者需求评估中策划了相关结果和过程指标,一个国际医生小组使用改良的 Delphi 方法对结果和过程指标进行了评级。经过三轮研究,对 29 项指标达成共识,包括脑定向肿瘤治疗、手术、全脑放疗、立体定向放射外科、支持或姑息治疗以及跨学科团队护理。脑转移瘤护理质量衡量标准根据治疗方式反映了脑转移瘤团队护理的价值和质量,并为这一研究不足的患者群体提供了护理基准。这组指标的采用、实施和可持续性有助于满足癌症患者、护理人员和临床医生对住院、门诊、家庭、社区和高等教育环境中更协调护理的需求。