Assessing the Quality of Cancer Care An Approach to Measurement in Georgia (2005) / Chapter Skim
Currently Skimming:
APPENDIX A Sources of Cancer-Related Clinical Guidelines and Quality Indicators
APPENDIX A Sources of Cancer-Related Clinical Guidelines and Quality Indicators
Pages 247-256
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 247... ...
: · American Society of Clinical Oncology; · College of American Pathologists; · Commission on Cancer; · Healthy People 2010; · Institute for Clinical Systems Improvement; · National Comprehensive Cancer Network; and · U.S. Preventive Services Task Force.
|
From page 248... ...
Topics are selected for clinical or economic importance, variations in patterns of or access to care, availability of data, and ethical considerations. Primary Focus Breast cancer, colorectal cancer, hematology, lung cancer, myeloma, and crosscutting topics related to cancer treatment, such as the use of antiemetics.
|
From page 249... ...
Primary Focus CAP produces standardized templates, referred to as protocols or checklists, for reporting findings on cancer specimens for each organ site and type of surgical specimen. Levels of Evidence NA Strength of NA Recommendation Years Since 1998 Schedule of Updates Updated as needed Website www.cap.org NA = not applicable.
|
From page 250... ...
Although most CoC-accredited programs are hospital-based, freestanding treatment facilities and health care networks can also apply for CoC accreditation. Primary Focus CoC standards cover the full range of cancer center activities including clinical and pathology data and reporting, tumor registries, clinical management, research, community outreach, professional education, and quality improvement.
|
From page 251... ...
Primary Focus The cancer-related objectives of Healthy People 2010 relate to: · Mortality (overall, lung, breast, cervical, colorectal, oropharyngeal, prostate, and melanoma) · Sun exposure and skin cancer · Provider counseling about cancer prevention · Pap tests · Colorectal cancer screening · Mammograms · Statewide cancer registries · Survival · Fruit and vegetable intake · Fat intake · Oral and pharyngeal cancers · Tobacco use including smoking cessation and insurance coverage of tobacco cessation treatment Levels of Evidence NA Strength of NA Recommendation Years Healthy People 2000, Healthy People 2010 Schedule of Updates New objectives developed every 10 years.
|
From page 252... ...
Cancer-related guidelines address colorectal cancer screening, tobacco use prevention and cessation, diagnosis of breast disease, and breast cancer treatment. Levels of Evidence Primary Reports of New Data Collection Class A: Randomized, controlled trial Class B: Cohort study Class C: Nonrandomized trial with concurrent or historical controls; Case-control study; Study of sensitivity and specificity of a diagnostic tests; Population-based descriptive study Class D: Cross-sectional study; Case series; Case report Reports that Synthesize or Reflect upon Collections of Primary Reports Class M: Meta-analysis; Systematic review; Decision analysis; Cost-effectiveness analysis Class R: Consensus statement; Consensus report; Narrative review Class X: Medical opinion Strength of Grade I: The evidence consists of results from studies of Recommendation strong design for answering the question addressed.
|
From page 253... ...
Years Since 1992 Schedule of Updates Reviewed every 12-18 months and updated as necessary Website www.icsi.org
|
From page 254... ...
NCCN Clinical Practice Guidelines in Oncology are the most widely used guidelines in oncology practice. Primary Focus NCCN guidelines cover treatment of more than 95 percent of all cancers and also address cancer detection; risk assessment and reduction; and supportive care for nausea and vomiting, distress management, cancer-related fatigue, and cancer pain.
|
From page 255... ...
Primary Focus The appropriate use of preventive services in primary care settings, including cancer screening, counseling, chemoprevention, and immunizations. Cancer-related recommendations concern screening for 12 cancers, including breast, lung, prostate, and colorectal and counseling for gynecologic cancers, skin cancer; tobacco use, and vitamin supplementation for cancer prevention.
|
From page 256... ...
is effective is lacking, of poor quality, or conflicting and the balance of benefits and harms cannot be determined. Years Since 1984 Schedule of Updates Updated as needed Website www.ahrq.gov/clinic/uspstfix.htm
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.