Quality indicators in the intensity modulated/image-guided radiotherapy era

Published on Dec 1, 2016in Critical Reviews in Oncology Hematology5.833
· DOI :10.1016/J.CRITREVONC.2016.10.013
Pietro Gabriele23
Estimated H-index: 23
,
Angelo Maggio11
Estimated H-index: 11
+ 8 AuthorsMichele Stasi27
Estimated H-index: 27
Sources
Abstract
Abstract 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.
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