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首页> 外文期刊>Lung cancer: Journal of the International Association for the Study of Lung Cancer >Development of quality indicators for diagnosis and treatment of patients with non-small cell lung cancer: a first step toward implementing a multidisciplinary, evidence-based guideline.
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Development of quality indicators for diagnosis and treatment of patients with non-small cell lung cancer: a first step toward implementing a multidisciplinary, evidence-based guideline.

机译：诊断质量指标的发展患者和治疗非小细胞肺癌:第一步实现多学科,以证据为基础的指导方针。

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BACKGROUND: While developing and distributing clinical practice guidelines are important in optimising clinical healthcare, insight into actual care is necessary to achieve successful implementation. Developing quality indicators may be the first step to becoming aware of actual care. The Dutch national practice guideline Non-small cell lung cancer: staging and treatment is one of the first clinical, multidisciplinary guidelines for oncology in the Netherlands for which quality indicators were developed systematically. We describe indicator development based on this guideline as a practical experience. METHODS: To develop a set of indicators for diagnosis and treatment of patients with non-small cell lung cancer, we systematically achieved consensus on the basis of a national, multidisciplinary, evidence-based guideline and the opinions of professionals and patients. After the researchers extracted the recommendations from the guideline, we carried out a so-called Rand-modified-Delphi procedure. This consisted of three rounds: a national panel of professionals and representatives of the national patient organization scored all recommendations, the professionals had a consensus meeting, and the final set of indicators was e-mailed for a last check. Subsequently, some clinimetric characteristics of this final set were assessed in a practice test. RESULTS: Thirty-two of 83 recommendations were selected in the first round. After the consensus meeting, 8 recommendations met the final criteria and were incorporated into 15 indicators, which were tested in practice. The most successful indicators for quality improvement are indicators that are measurable, have potential for improvement, have a broad range between practices and are applicable to a large part of the population. CONCLUSIONS: For successful implementation of evidence-based guidelines, each new guideline should be developed and tested with a set of indicators based on the guideline. The procedure we describe can serve as an example for other new guidelines.
机译：背景:在开发和分发临床实践指南是很重要的优化临床医疗、洞察实际的实现成功的护理是必要的实现。意识到真正的第一步护理。非小细胞肺癌:分期和治疗是第一批临床多学科肿瘤在荷兰的指南质量指标是哪一个系统。基于这条指导原则作为一个实用体验。指标的诊断和治疗非小细胞肺癌患者,我们系统实现共识的基础上一个全国性的、多学科的,以证据为基础的指导和专业人士的意见病人。建议的指导方针,我们携带所谓Rand-modified-Delphi过程。这包括三轮:一个国家的面板专业人士和代表国家病人组织得分建议,专业人士共识会议,最后一组指标是最后一个检查电子邮件。随后,一些clinimetric特点最后在实践评估测试。结果:32 83建议选择在第一轮。会议上,8建议符合最终的标准并被纳入15个指标,在实践中进行了测试。为质量改进指标指标可衡量的,有潜力改进,之间有一个广泛实践适用于一个大的一部分人口。实施以证据为基础的指导方针,新的指导方针应该开发和测试一组指标根据指导方针。过程描述可以作为一个例子其他的新指导方针。

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