Trends in the Pattern of Care for Lung Cancer and Their Correlation With New Clinical Evidence: Experiences in a University-Affiliated Medical Center
Resource
AMERICAN JOURNAL OF MEDICAL QUALITY v.21 n.6 pp.408-414
Journal
AMERICAN JOURNAL OF MEDICAL QUALITY
Journal Volume
v.21
Journal Issue
n.6
Pages
408-414
Date Issued
2006
Date
2006
Author(s)
Chien, Chun-Ru
Lai, Mei-Shu
Abstract
The authors surveyed the pattern of care (POC) of lung cancer (LC) using data on 4565 patients from the cancer registry of their university-affiliated hospital institution for the period of 1991 to 2002. New clinical evidence was retrieved from the citations used in the level 1 recommendations in guidelines and textbooks. Using this evidence, indexes (1-6) were chosen, including stage I to II non-small-cell LC (NSCLC): no adjuvant radiotherapy (ART; I ); stage III NSCLC: equivocal ART (II), neoadjuvant chemotherapy (C/T; III), and chemoradiotherapy (CRT; IV); stage 4 NSCLC: C/T (V) and limited-stage small-cell LC: CRT( VI). Odds ratios of these index events in the postevidence period versus preevidence period were calculated to show trends in the POC. Trends in the POC were consistent with new clinical evidence with statistical significance. The age and gender adjustment odds ratio was 2.22 to 7.06 for beneficial indexes (3-6) and 0.12 to 0.4 for detrimental indexes (1-2).
Subjects
clinical practice patterns
evidence-based medicine
information dissemination
lung cancer
SDGs
Type
journal article
File(s)![Thumbnail Image]()
Loading...
Name
22.pdf
Size
104.53 KB
Format
Adobe PDF
Checksum
(MD5):9a90f26c95e2fad6ba06e42ee4e53d52