COOPERATIVE GROUP OUTREACH PROGRAM - NSABP

NSABP癌症控制网络(CGOP)计划 申请将增加接受状态的患者数量 通过扩大临床试验参与来提高癌症护理的艺术性 进一步深入到社区环境中。目前的提案将 继续并扩大1978年开始的正在进行的方案， 通过25个地理上分散的网络，其中5个 这对这个项目来说是新的。具体的计划目标 包括：1)在中国引入和推广患者协议管理 社区环境；2)开发和维护支持系统 和对社区医生的教育；3)研究所和 维持确保护理质量的程序。 典型的癌症控制网络由一个主要的医疗机构组成 中心及其癌症控制卫星，它们要么是 社区医院或在社区执业的医生团体 布景。邀请社区医生参加 NSABP方案，前提是所有机构和医生 符合资格标准。被归类为 社区医生，医生的主要预约必须是 在网络机构的卫星设施中，并且必须 对社区患者护理的至少一个方面的责任： 手术、治疗或随访。这是一种机制 社区医生的招聘取决于组织 特定的癌症控制网络，但医生的 通过提供适当的 教育和支持服务。 NSABP质量保证计划的所有组成部分同样适用 对社区和非社区患者：病理学回顾、手术 综述，放射治疗综述，毒性监测，医学 资格审查和治疗失败，质量控制 雌激素和孕激素受体分析，药物责任， 医疗记录审计、机构评估、监测 表格提交和数据处理中的质量控制。这些 程序确保高质量的协议参与，而 癌症控制网络活动促进了 社区患者进入高质量NSABP乳房和结直肠 癌症治疗方案。

The NSABP Cancer Control Network (CGOP) Program proposed in this application will increase the number of patients receiving state of the art cancer care by extending clinical trial participation further into the community setting. The current proposal will continue and expand the ongoing program, which began in 1978, through twenty-five geographically dispersed networks, five of which are new to the program. The specific program objectives include: 1) introduce and promote patient protocol management in the community setting; 2) develop and maintain systems of support and education for the community physicians; 3) institute and maintain procedures that ensure the quality of care. The typical cancer control network consists of a major medical center and its cancer control satellites, which are either community hospitals or physician groups practicing in a community setting. The community physicians are invited to participate in NSABP protocols, provided that all institutional and physician eligibility criteria have been met. To be classified as a community physician, the physician's primary appointment must be at a satellite facility of the network institution and must have responsibility for at least one aspect of community patient care: surgery, treatment, or follow-up. The mechanism by which the community physician is recruited depends upon the organization of the particular cancer control network, but the physician's participation is facilitated through the provision of appropriate educational and support services. All components of the NSABP quality assurance program apply equally to community and non-community patients: pathology review, surgery review, radiation therapy review, toxicity monitoring, medical review for eligibility and treatment failure, quality control of estrogen and progesterone receptor assays, drug accountability, medical record audits, institutional evaluations, monitoring of forms submission, and quality control in data processing. These procedures assure high quality protocol participation while the Cancer Control Network activities facilitate the accrual of community patients into high quality NSABP breast and colorectal cancer protocols.