Quality indicators in the Intensity Modulated/Image-Guided Radiotherapy era
Menée avec l'aide d'un groupe de travail composé de différents spécialistes (radiothérapeutes, radiophysiciens et techniciens), cette étude identifie de nouveaux indicateurs de qualité (indicateurs de structure, de processus et de résultats) spécifiques des techniques de radiothérapie avec modulation d'intensité et des techniques de radiothérapie guidée par l'imagerie
Purpose : To propose new Quality Indicators (QIs) for the Intensity Modulated(IMRT)/Image-Guided(IGRT) Radiotherapy techniques.
Materials and methods : Two structure, 10 process and 2 outcome QIs were elaborated. A working group including Radiation Oncologist, Medical Physicist and Radiation Technologists was made up. A preliminary set of indicators was selected on the basis of evidenced critical issues; the criteria to identify more relevant and specific QIs for IMRT/IGRT were defined; structure, process and outcome QIs were defined. The elaborated indicators were tested in four Italian Radiotherapy Centers.
Results : Fourteen indicators were proposed. Seven indicators were completely new while a new standard is proposed for four indicators based on Validation Centers (VC) data. No change was reported for 3 indicators. The indicators were applied in the four VC. The VC considered were able to respect all indicators except indicator 2 for one Center.
Discussion and conclusion : QIs may provide useful measures of workload and service performances.
Critical Reviews in Oncology / Hematology , résumé, 2015