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Titolo:
Regional guideline for diagnosis and treatment of squamous cell carcinoma of the lip: what is the lever of compliance?
Autore:
Gooris, PJ; Schaapveld, M; Vermey, A; Otter, R; Rispens, A; Roodenburg, JLN;
Indirizzi:
Ignatius Hosp Breda, Dept Oral & Maxillofacial Surg, NL-4818 CK Breda, Netherlands Ignatius Hosp Breda Breda Netherlands NL-4818 CK 8 CK Breda, Netherlands Ctr Comprehens Canc, Groningen, Netherlands Ctr Comprehens Canc Groningen Netherlands Canc, Groningen, Netherlands Univ Groningen Hosp, Dept Oral & Maxillofacial Surg Oncol, Groningen, Netherlands Univ Groningen Hosp Groningen Netherlands Oncol, Groningen, Netherlands Univ Groningen Hosp, Dept Surg Head & Neck Surg, Groningen, Netherlands Univ Groningen Hosp Groningen Netherlands Surg, Groningen, Netherlands
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 2, volume: 13, anno: 2001,
pagine: 143 - 150
SICI:
1353-4505(200104)13:2<143:RGFDAT>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL GUIDELINES; PRACTICE PATTERNS; LUNG-CANCER; NETHERLANDS; POLICY; TRIAL; HEAD;
Keywords:
adherence; guideline; lip cancer; squamous cell carcinoma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Gooris, PJ Ignatius Hosp Breda, Dept Oral & Maxillofacial Surg, Molengracht 21, NL-4818 CK Breda, Netherlands Ignatius Hosp Breda Molengracht 21 Breda Netherlands NL-4818 CK
Citazione:
P.J. Gooris et al., "Regional guideline for diagnosis and treatment of squamous cell carcinoma of the lip: what is the lever of compliance?", INT J QUAL, 13(2), 2001, pp. 143-150

Abstract

Objective. To investigate to what extent physicians comply with a regionalguideline for the diagnosis, staging, treatment and follow-up of patients with squamous cell carcinoma of the lower lip. Design. Retrospective analysis of data from the medical records of 248 patients diagnosed with squamous cell carcinoma of the lower lip during the period 1989-1997. Setting. Comprehensive Cancer Centre of the Northern region of the Netherlands. Study participants. The data were collected by this Centre for the regional population-based cancer registry. Results. Overall compliance with the separate guidelines varied between 4 and 80%. For diagnosis and staging, the guideline was followed for 4-70% ofpatients. The type of treatment in relation to age conformed to the guideline in 34% of cases. Of the 208 surgically-treated patients, treatment was performed in accordance with the guidelines in 92 (44%) patients, compared with seven out of 18 (39%) patients who received radiotherapy. Follow-up inaccordance with the guideline was 11% in the first year, 9% in the second year and 21% in the third year. Conclusion. Only a minority of patients with squamous cell carcinoma of the lower lip, a rare tumour, were managed according to the available regional guideline. Regular review of both the guideline and its implementation isnecessary in order to optimize its use.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 16:24:29