Consensus Quality Measures and Dose Constraints for Head and Neck Cancer with an emphasis on Oropharyngeal and Laryngeal Cancer from the Veterans Affairs Radiation Oncology Quality Surveillance Program and American Society for Radiation Oncology (ASTRO) Expert Panel. Journal Article


Authors: Katsoulakis, E; Kudner, R; Chapman, C; Park, J; Puckett, L; Solanki, A; Kapoor, R; Hagan, M; Kelly, M; Palta, J; Tishler, R; Hitchcock, Y; Chera, B; Feygelman, V; Walker, G; Sher, D; Kujundzic, K; Wilson, E; Dawes, S; Yom, S; Harrison, L
Article Title: Consensus Quality Measures and Dose Constraints for Head and Neck Cancer with an emphasis on Oropharyngeal and Laryngeal Cancer from the Veterans Affairs Radiation Oncology Quality Surveillance Program and American Society for Radiation Oncology (ASTRO) Expert Panel.
Abstract: INTRODUCTION: Safeguarding high-quality care using evidence-based radiation therapy for patients with head and neck cancer is crucial to improving oncologic outcomes, including survival and quality of life. METHODS: The Veterans Administration (VA) National Radiation Oncology Program (NROP) established the VA Radiation Oncology Quality Surveillance Program (VAROQS) to develop clinical quality measures (QM) in head and neck cancer. As part of the development of QM, the VA commissioned with the American Society for Radiation Oncology (ASTRO) to task a Blue-Ribbon Panel comprised of experts in head and neck cancer to develop QM. RESULTS: Herein we describe the methods utilized to develop QM and the final consensus QM, as well as aspirational and surveillance QM which capture all aspects of the continuum of patient care from initial patient workup, radiation treatment planning and delivery, and follow up care, as well as dose volume constraints (DVH). CONCLUSION: These QM are intended for use as part of ongoing quality surveillance for veterans receiving radiation therapy throughout the VA as well as outside the VA and may be utilized by the non-VA community as a basic measure of quality care for head and neck cancer patients receiving radiation.
Journal Title: Practical radiation oncology
ISSN: 1879-8500
Publisher: Unknown  
Date Published: 2022