RESULTS OF THE 1983 PATTERNS OF CARE PROCESS SURVEY FOR DEFINITIVE BREAST IRRADIATION
RESULTS OF THE 1983 PATTERNS OF CARE PROCESS SURVEY FOR DEFINITIVE BREAST IRRADIATION
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DOI：
10.1016/0360-3016(91)90145-t
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发表时间：
1991-01-01
影响因子：
7
通讯作者：
HANKS, GE
中科院分区：
文献类型：
--
作者：
SOLIN, LJ;FOWBLE, BL;HANKS, GE
本报告记录了1983年护理模式研究（PCS）过程调查结果的美国全国平均值，用于确定性乳腺照射的评价、检查和治疗过程。 所有女性在早期乳腺癌保乳手术后均接受了确定性放疗。 这些数据是从191例患者图表中收集的，这些患者图表是从五个层次的放射治疗实践中随机选择的，以代表美国全国的平均水平。 原发肿瘤的临床和病理特征以及区域淋巴结状态与1983年报道的系列相似。 对这一过程调查的分析表明，对1983年PCS乳腺癌最佳现行管理标准的遵守程度很高。 然而，在辐射场的技术提供和所用辐射剂量方面存在很大差异。 使用模拟胶片、输液港胶片、植入物胶片和现场描述的放射治疗记录具有良好的依从性。 在放射治疗实践的各个阶层之间没有系统性差异。 虽然符合大多数参数是相对较高的，小，但重要的领域缺乏符合最佳现行管理文件的标准，在1983年不完全的技术转移到整个放射肿瘤学界。 需要对这些病例的治疗结果进行单独分析，以将过程与结果联系起来。
This report has documented the U.S.A. national averages for the results of the Process Survey for the 1983 Patterns of Care Study (PCS) for the processes of evaluation, work-up, and treatment for definitive breast irradiation. All women had been treated with definitive irradiation following breast-conserving surgery for early stage breast cancer. The data were collected from 191 patient charts which were randomly selected from five strata of radiotherapy practice to represent the U.S.A. national averages. Clinical and pathological characteristics of the primary tumor and regional lymph node status were similar to reported series as of 1983. Analysis of this Process Survey showed high compliance with the 1983 PCS standards of best current management of breast cancer. However, there was a wide variation in the technical delivery of the radiation fields and radiation doses used. There was good compliance with the use of documentation of the radiation treatments with simulation films, port films, implant films, and field descriptions. No systematic difference was seen amongst the various strata of radiotherapy practice. Although compliance with the majority of the parameters was relatively high, the small but important areas of lack of compliance with the standards of best current management document an incomplete transfer of technology to the radiation oncology community as a whole in 1983. Separate analysis for the outcome of treatment for these cases will be necessary to correlate process with outcome.