PATTERNS OF CARE STUDY IN RADIATION ONCOLOGY

放射肿瘤学的护理研究模式

• 批准号: 2744388
• 负责人: GERALD E HANKS
• 金额: $ 75万
• 依托单位: AMERICAN COLLEGE OF RADIOLOGY
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 2003-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2744388
• 关键词: Canada; Japan; United States; breast neoplasms; cancer rehabilitation /care; cervix neoplasms; data collection; esophagus neoplasm; health care quality; health care service evaluation; health services research tag; health surveys; human data; human therapy evaluation; interdisciplinary collaboration; international cooperation; longitudinal human study; lung neoplasms; neoplasm /cancer radiation therapy; oncology; outcomes research; patient care management; prostate neoplasms; racial /ethnic difference

The Patterns of Care Study (PCS) in radiation oncology has the overall goal of improving the care received by cancer patients throughout the USA. To achieve this goal, national surveys will determine structure, process, and outcome of care, emphasizing practice setting, new technologies, and other factors likely to influence outcome. The proposed studies will include cancer of the breast prostate, and lung, which have the highest incidence and death rates in both men and women. This first PCS survey of lung cancer is timely, because positive clinical trials have created the foundation for improvement in treatment and outcome. Cancer of the cervix and esophagus, where radiation therapy is critical and further improvement in care is still needed, will also be studied. Additional outcome data will be collected for other existing studies. A special study will focus on patients treated with implants for prostate cancer. Another special study will focus on the care received by implants in minority-rich facilities. A continuing important collaboration between the American College of Radiology (ACR) and the American College of Surgeons (ACoS) will compare the patterns of treatment for breast cancer patients with locally advanced disease to treatment used in recently reported positive clinical trials. The ongoing close collaboration with national clinical trial groups, especially the Radiation Therapy Oncology Group, enables the PCS to measure the penetration of positive phase III clinical trials into the national practice. Similarly, collaboration with professional organizations provides a foundation for measuring the penetration of evidence-based practice standards and guidelines. An international collaboration will lead to comparison of the processes and outcomes of care for patients with cancer of the breast, cervix, esophagus, and lung between the USA and Japan. For cervix cancer comparisons will also be made with Canada. The PCS findings will direct the development of specific educational programs targeted at correcting identified deficits in care. The research time is experienced and have over twenty-five years of successful Patterns of Care Studies with stable leadership by the Principal Investigator, Director, and sponsoring organization. Ready access to patient records has resulted from the enthusiastic cooperation of the specialty of radiation oncology.

放射肿瘤学的护理模式研究（PCS） 目标是改善癌症患者在整个 USA.为了实现这一目标，全国调查将确定结构， 过程和护理结果，强调实践环境，新 技术和其他可能影响结果的因素。的 拟议的研究将包括乳腺癌、前列腺癌和肺癌， 这些疾病在男性和女性中的发病率和死亡率都最高。 肺癌的首次PCS调查是及时的，因为阳性 临床试验为改善治疗方法奠定了基础 和结果。宫颈癌和食道癌，放射治疗 是至关重要的，仍然需要进一步改善护理，也将 被研究。将收集其他现有结局数据 问题研究一项特别的研究将集中在接受植入治疗的患者身上 治疗前列腺癌另一项特别研究将集中在护理 在少数民族聚居的地方植入 一个持续的重要合作之间的美国大学 放射学（ACR）和美国外科医生学会（ACoS）将比较 乳腺癌患者的治疗模式， 晚期疾病治疗中使用的最近报告的阳性 临床试验与国家临床研究中心的密切合作 试验组，特别是放射治疗肿瘤组， PCS用于衡量阳性III期临床试验的渗透率 在国家实践中。与专业人士合作 组织提供了一个基础，衡量渗透 循证实践标准和指南。 国际合作将导致比较的过程 乳腺癌、子宫颈癌、 食道和肺之间的美国和日本。治疗宫颈癌 也将与加拿大进行比较。 PCS的调查结果将指导具体教育的发展， 旨在纠正已查明的护理缺陷的方案。的 研究时间是经验丰富的，有超过二十五年的 成功的护理模式研究与稳定的领导， 主要研究者、主任和申办组织。准备 接触病人记录的机会来自于 放射肿瘤学专业的教授